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HomeMy WebLinkAboutDoroski, Theodore EOATH OF OFFICE FOR VOLUNTEER FIRE POLICEMEN (New York State Municipal Law, Section 209-C.) Sworn to before me this. ~.~..'~.~.day STATE OF NEW YORK COUNTY OF SUFFOLK TOWN OF SOUTHOLD I,..~--'~.~..~.~.Y~...~-.,..~;-~.q~'.4~/~l~.., 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 CUTCHOCUE FIRE DEPARTMENT, according to the best of my ability. Sig natu re~-~.~..~., , .~: ............. Add ress.~3. ~3~-~'...../~.. z~ [¥..../~ P~.(~. .......... Post Office.. ~ Original to be filed with the Town Clerk. Copy to be held by Depart- ment Secretary. ........ N .ELI~_ BETH ANN NEVILLE N o~/_P_ublic, State of I~ew York - o. oz_-u ,'125850, Suffolk Couj1~ty mrm u-~4~ires October 31,