HomeMy WebLinkAboutOthen, Robert FOATH OF OFFICE FOR VOLUNTEER FIRE POLICEMEN
(New York State Municipal Law, Section 209-C.)
STATE OF NEW YORK
COUNTY OF SUFFOLK
TOWN OF~/J~'~-~'~'~ ,;~OUTHO LD ~
I,~.~.~... ....................... 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.
Signature .................
^ddress.. ........
Sworn to before, me this.~..day
~ Notary Public ~'
ELIZABETH ANN NEVILLE
Notary Public, State of New Yo~k
Original to be filed with the Town
Clerk. Copy to be held by Depart-
ment Secretary.
/ /_
.... .~.//~.x'. ~7.: .......
Date
filed
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