HomeMy WebLinkAboutFraker, W. RichardsO,,th o~fflc~ for Volunteer i=iro P~l¢om.n
(Hew York State Municipal Low, Section 209-¢.)
STATE OF NEW YORK
SUFFOLK COUNTY
TOWN OF SOUTHOLD
I ....... .¥.,.....~.~..~.q..~..~.~...~.~...~..e...~. .......................... , do solemnly swear (or affirm).,
CZ~pe a~ 1'tint Nmne)
that I will support the Constitution of the United States, and the Constitution of the State
of. New York, and that Iwil] faithfully discharge the duties ~f the office of Fire Policeman
o~ the .......... .~..~..t;.~..~..e...~. ............................ Fire Department, according to the best of
my abthty. .
Signature ,~_
, · ' Address .£:.....~....~......%.~...,./....P~:.'...J.:....; ....
ost ............... ..........
Sworn to before me, thi ... day Original to be filed with Town (~4flage~. Clerk.
~ Copy
of ~J~gd~...E..~... ................ .r~ 19'~-~ , to be held by Department Secretary.
· No. 62-8126860, ~offelk _ _CgUJO6~
Term Eqzirm Oemi~r at.