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Oath of Ol~ice for Volun~r Fire Policemen
(N~ York State Munkipal I.mf, Section 209-C.)
STATE OF NEW' YORK
SUFFOLK COUNTY ~T.O 212
TOWN OF 5OUTHOLD
thor I will support the Constitution of the United States, ,,nd the Constitution of the State
of New York, and that I will faithfully discharge the duties of the office of Fire Policem~n
of the ............ ~.'.~ ............. Fire D~portment, o¢¢ordino *o the t~st of
Si§noture ~ .............
Sworn ,o before me, this ...~....... day 'g' , be *,e*,ith Town (ring.) Cl.rk.
~~ ....... , 19.~ Copy to be Held by ~nment Secreta~.
w
S orn to before me this..
of ............. .... .... ~..., 19..'.~
OATH OF OFFICE FOR VOLUNTEER FIRE POLICEMEN
[New York State Municipal Law, Section 209-C.)
STA~E OF NEW YORK
COUNTY OF SUFFOLK
TOWN OF SOUTHOL~, . , .
~~;~ ' ..... do solem'nl¥ swear (or affirm)
(Type or ~j~int- Name) .....
that I will support the I~onstitution of the United States, and the Constitution
of the State of New York, and that I will faitl~fully discharge the duties of
the office of Fire Policeman of the CUTCNOGUE FIRE DEPARTMENT, according
to the best of my ability.
Si gna tur e .~J~.~.. ~'
- '
Post off, ce. .
JUDITH T, TERRY
Notmy Public, State of
No. 62-0344963
Qualified in Suffolk C~nty
Commission Expires May 31
Original to be filed with the Town
Clerk. Copy to be held by Depart-
ment Secretary
Date filed .... ? ~