HomeMy WebLinkAboutZuhoski, Edward AOATH OF OFFICE 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 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 CUTCHOGUE FIRE DEPARTMENT, according
to the best of my ability.
S,gnature~ .... r~.~.~~ ....
ddress ................... ;..(~.. ..................
Post Off',ce...~./-r~'...~.. ~.~.
Sworn to before me this..~-~...day
..............
..........
Notary Public, State of New Yod(
No. 4822563, Suffolk County
Term ;xpires December 31, 19
Original to be filed with the Town
Clerk. Copy to be held by Depart-
ment Secretary.
Date filed.. ~-~.. ,~, ~..