HomeMy WebLinkAboutMonahan, Daniel WOATH OF OFFICE FOR VOLUNTEER FIRE POLICEMEN
(New York State Municipal Law, Section 209-C.)
STATE OF NEW YORK
COUNTY OF SUFFOLK
TOWN OF SOUTHOLD
I,...~.~l~/~J.~/-~T./~...~/kJ./~.J~.~/~.~. ......... , do solemnly swear (or affirm)
(Type or Print Name)
that I will support the Constitution of the United States, and the Constitution
of the State of New York, and that I will faithfully discharge the duties of
the office of Fire Policeman of the ORIENT FIRE DEPARTMENT r~, accord-
S ig n a t u r e .-~..~.~.b ....... ~. ~. ~- .......
Add res s .~../..~.~..'~. ~.~..<.~-. J/~.~. ~.~ .r',~'...~.~. .........
Post Office. ~.~ ...............
Sworn to before me this.~t~..day
of.. ..........
Notary I~ ....
LINDA J. coOPER
Notary Public, State of Ne~ Yo~
No. 482256:~, Suffolk. County 4:~/Z
Tr rm Expires December 31, 19--/--T
Original to be filed with the Town
Clerk. Copy to be held by Oepart-
ment Secretary.
Oate filed.. ~'~l~.....~.,./.~ ........