HomeMy WebLinkAboutSchelin, Roy A 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,....~/...;........ ...I....~';.O ... ....... 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 $OUTHOLD FIRE DEPARTMENT, according
to the best of my ability.
JUDITH T. TERRY
Notary Public, State of New York
No, 52-0344963
Ouatified in Suffolk County
Commission Expires May 3t 19;Z.~
Sworn to before me this.¥~. ...... --' day
of ..... ....
Notary Public
Signature .... : ~ -- . ..............
Add ress..~.. '.~J... ~..0. ~,.(~,,~ .~.. ~ .~..J~/'..~. ..............
Post Office 50¢4 _-~_ ~ 0/-~
Original to be filed with the Town
Clerk. Copy to be held by Depart-
ment Secretary.
Date filecl~ ..~../../.'~../.