HomeMy WebLinkAboutGrathwohl, Glen CSworn to before me this .... ~/.,....dav
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· v Notary Public
JUDITH T. TERRY
Not~ry Public, Stale of New
No. 62-0344963
Qualified in Suffolk County
~emmi.ion F_~q~lre~ May 31, 1~
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
,.
................. ~' ......... ./ ..... 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 CUTC)~GU4~ FIRE DEP_,a~RTMEN~T~ac~ding ·
to the best of my ability. ~/~,~ , ~_
Sig natu re. ~..~..'~ .~..~..--~.~,.
Address.-.~,.~.~.~....~,/~..~.~-..~......~.~..--~. /~ /~'~ ~
Post Office .........................................
Original to be filed with the Town
Clerk. Copy to be held by Depart-
ment Secretary,
Date filed~..~/./,,~../.~. .......