HomeMy WebLinkAboutHicks, Robert JOATH 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,....'~?../5..E/~..~....~/-~' .... ~./.~../~..~-. .......... 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 o£[£,ur F~E~ .,~ISTIP--IC-T , accord-
ing to the best of my ability.
Signature .... ~' ~x' .........................
Address ....................................
Post Office..~..~J.~ .x~.T .... /~J..~'. .... ~./~ 5-'~
· ~
Sworn to before me thEs./~ .~-J,~day
19~ .~-
of.
Notary Public
UNDA J. COOPER
Notary Public, State of Nem~ York
No. 4822563, Suffolk County,o__
Term Expires December 31, 19, ~(r~
Original to be filed with the Town
Clerk. Copy to be held by Depart-
ment Secretary.
Date filed....c~./~./.~../.~...~. .............