HomeMy WebLinkAboutBoken, Michael COATH OF OFFICE FOR VOLUNTEER FIRE POLICEMEN
[New York State Municipal Law, Section 209-C.)
STATE OF NEW YORK
COUNTY OF SUFFOLK
TOWN OF SOUTHOLD
,,.j~.~..~...~/, .... ~..1~.[~../~. .... 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. . ~ ~ .//~..~ .~~~'~/~
Signature ..............
Address. P..~ .'.B~./~'-, .~, ~ .I..~. 1... ~,,~ *~* *--~. ~...~, · .~. · · ·
Post Office..C.~'t'~.. ~-.,~..,.. ~ .-H.--1.1 .q..3.._5..
Sworn to before me this.q~.}.~...day Original to be filed with the Town
Clerk. Copy to be held by Depart-
ment Secretary.
RIClIVED
Date filed ..........................
OCT ~11 1~