HomeMy WebLinkAboutPurcell, KeithOATH OF OFFICE FOR VOLUNTEER FIRE POLICEMEN
(New York State Municipal Law, Section 209-C.)
STATE OF NEW YORK
COUNTY OF SUFFOLK
TOWN OF SOUTHOLD
',...~.~.~?'.~.../'".~)~..C..~..~../-~ .............. 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 SOUTHOLD FIRE DEPARTMENT, according
to the best of my ability.
Sworn to before me this ..... day
of .......
I'~ll~fl~ I i c
Notary Public, State of New Yo~k
No. 52-0344963
Qualified in Suffolk County
C~;qmis$ on ~pires May 31, 1~
Signature. ~. .~ ................
Post Office .............. c~.~. ...................
Original to be filed with the Town
Clerk. Copy to be held by Depart-
ment Secretary.
Date filed ~..~ ~..~.~...