HomeMy WebLinkAboutFohrkolb, Andrew TOATH OF OFFICE FOR VOLUNTEER FIRE POLICEMEN
(New York State Municipal Law, Section 209-C.)
Sworn I;o before me this ...... , .... day
of ..................
· (./ ' Notary Public
STATE OF NEW YORK
COUNTY OF SUFFOLK
TOWN OF SQUTHOLD!:/.~.i~f_E.~ ~
I ........................ do solemnly swear (or affirm)
(Type or Print Name) '
that I will sup~rt 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 FIREpE~RT~ENT, according
to the best of my ability.
Address.
JUDITH T. TERRY
Nota~ Public, State of New York
No. 62-O34496~
Qualified in Suffolk Cou~ ~
Commission Expir~ May $1,1~.~
/
Original to be filed with the Town
Clerk. Copy to be held by Depart-
ment Secretary.
Date filed. · ~v .........