HomeMy WebLinkAboutLaub, Robert WOATH OF OFFICE FOR VOLUNTEER FIRE POLICEMEN
(New York State Municipal Law, Section 209-C.)
STATE OF NEW YORK
COUNTY OF SUFFOLK
TOWN OF SOUTHOLD
.~.o.'~ ~.~.T....{~..,..~, ~ ?..~:>. '..., do solemnly swear (or affirm)
{Type or Print Namej
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.
Signature .....~ /f'~/'
JUDtTH T. TERRY
Notary Public, State of New York
No. 52-0344963
Qualified in Suffolk County
Commission Expires May 31, 19.~'
Sworn to before me 'h .
m~s~._~ ~ .~/~....day
of ............. ., .,, f/-,g~-../~/'~:'..'2T~. ,~, 1
" Notary Public
Address ~' ~' /~R/ / ? ~O'-
Post Office .... ~,o o?-./-/o/---.Z.~ ,'/[J. ~ //~ 7/
Original to be filed with the Town
Clerk. Copy to be held by Depart-
ment Secretary.
Date filed.,~