HomeMy WebLinkAboutBlakely, JohnOATH 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,..'~...0..H..'~....~'.......................,;~Z~)A~Z'~ 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.
Address.. ~.~C~
Po Office
Sworn to before me this../.G...~....day
of...~..~ .............. 19.~.G.
Notary Public
LINDA J. COOPER
Notary Public, Stme of New Yod[
Te No~4822563, Suffolk County/~, ,
rm =xpires December 31, 19 ~u
Original to be filed with the Town
Clerk. Copy to be held by Depart-
ment Secretary.
Date filed .... .~./.0./~.~ ~. .............