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Oath of ~J~ice for Volunteer Fire Pol~men
(New York State Municipal Law, Section 209-C.)
STATE OF NEW YORK
SUFFOLK COUNTY ~T.O
TOWN OF SOUTHOLD
540
I, ?odd ,Totmm on
............................................................................ , do solemnly swear (or affirm)
(Type or Print N~m~e)
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 ............... Me,.~.t~:L~g~I~.~...N.,.~'., ......... Fire Department, according to the best of
my ability. S ignatu re...~...o~....~ ..............
Address · ~.~. · .~.~.. ·..~.~..~.~d. ~'J...~.~.. ...........
Sworn to' fore m th
Notary ..... ..~..~ .................. .~...
PETER M. COLEMAN
NOTARY PUBLIC, State of New ¥o1~
No. 52.5758570
(~ualified in Suffolk Comity
Commission Exp~ees March 30.
Post Office Matti~uck, N.Y. 119~2
Original to be filed with Town (Village) Clerk.
Copy to be held by Department Secretary.
RECEIVE~
Date filed ........................................
JUL 3 0 Lq82
Town Clerk $outhold