HomeMy WebLinkAboutHorton, Philip GOATH 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 ........ ~'tt[L[l~. Go. I/0g3~0~I ................. 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~..~...~f.~ ......
Add tess..4I~Q',/b~l .~a~ .P~I/.tJ3 .....................
Post Office.. DeCgO/L¢, .~]~.¥e~l~.. 11958 ...............
Sworn to before me this ...... ,~;~bday
Original, to be filed with the Town
Clerk. Copy to be held by Depart-
ment Secretary.
Date filed... August. ;75o. ~[98b ........