HomeMy WebLinkAboutConway, John LOATH OF O'FFICE FOR VOLUNTEER FIRE POLICEMEN
(New York State Municipal Law, Section 209-C.)
STATE OF NEW YORK
COUNTY OF SUFFOLK
TOWN OF SOUTHOLD
,.
....... .~.~. ........ do solemnly swear (or affirm)
(Type or Print Name)/ '
that I will support the Con. stitution 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.
Address../. (P.~.... ~ .~..~ ....... ./~J~. ........
Post Office..~)..C~ .~.0..~... ~.; ~ ..... /./.c~.f ....
Sworn to before me this....~..~.-~.~, .day
of .........
Notary Public
Original to be filed with the Town
Clerk. Copy to be held by Depart-
ment Secretary.
JUDITH T. TERRY
Notsry Public, State of New York
No. 52-0344963
Qualified in Suffolk County
Commission Exph-es May 31,