HomeMy WebLinkAboutRich, James H JrOATH 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,....~.~..1~. ~,........~.....~..t.C.. ~?...~'.t~... ......, 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 DEPART~MENT, according
Signatu .......... ! .........
Post Office.~'~:~f'7'/'~O~C~ / '~'~'< //~J'V}
Sworn to before me this..~,,~.;.~-...day
of ......
Notary Public
JUDITH T. TERRY
Nota~7 Public, State of New York
No, 52-0344963
Qualified in Suffolk County
Commission Expires May 31.19.~/-.~
Origina.I to be filed with the Town
Clerk. Copy to be held by Depart-
ment Secretary.
Date fi I ed .~~. · ~./.,'~..