HomeMy WebLinkAboutButler, Dale M OATH 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,.4~.~.' ..... '~'~..- ./~..-.~. ........ 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....x~. ?.~./~ .,~. ~.....~..~'..~.. ~ .... .C..,~../'.~'~..~ .~=, ?. ~_
. Post~ffice ..... .~. ~'-.-~. .... .C.~. z~.c..~.~,.~...~
Sworn to before.me thi~...~..,..~..da,.,y~ Original to be filed with the Town
-~ ~ ,a~:~ Clerk~' Copy to be held b De art-
u[ ..................... ~, .. __ y p
~' ~' ' '~' '~'" '~-~--~-~'~ ment Secretary.
. Notary Public ~ Date filed. ~ ~/~;~.. ......
JUDIl14 T. TERRY
~ PubliC, ~e at N~ Y~'k
Qualified in Suffolk COul~
Cemmission Expires May $1,1~