HomeMy WebLinkAboutDoroski, Anthony TOATH 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 .~.NT--HO/'/(/ 7~, ~,~.5./.~ 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 CUTCHOGUE FIRE DEPARTMENT, according
to the best of my ability. ~__z~ ~,
Signature ........... ~ ~, ~;~L~
Address .~2~ g....~.~.p, o ~ Z~ ~/7 ~
Sworn to before me this.. ~/?...~/~..day
of ..
Original to be filed with the Town
Clerk. Copy to be held by Depart-
ment Secretary.
Date filed....~.~. ,/.~.,. [~?..~....
o. 4822583,