HomeMy WebLinkAboutPietrowicz, Albin OATH OF OFFICE FOR VOLUNTEER FIRE POLICEMEN
(New York State Municipal Law, Section 209-C.)
STA~E OF NEW YORK
COUNTY OF SUFFOI~
TOWN OF SOUTHOL~_~~ ,~,~
I'/~"~E.-~./.~.~/~.~.~.-/~- - do solemnly (or affirm)
' [Type or' Print Name)'! ........... swear
that I will support the Constitution of the United States, and the Constitution
of the State of New York, and that I will faitrifully discharge the duties of
the office of Fire Policeman of the CUTCHOGUE FIR~-.~RTMENT, according
to the best of my ability.
Add ress · ,~, ~, ,/, ,~,,
~" '~'7" ":''''~' ;-''~'.
· Post Office.~....~.......~..%..~./~..(~
Sworn to before me th/j~.' ',~.Z .... day Origir~to be filed with~he Town
-= ~'~--~,'/~- .A ~:~'¢>, Clerk/./ Co to be held b De ar-
u~ ............ ~..,~ · · · .~,~;,. · .~f.~., i u.~.~ ..... q-j -- PY y p t
,~' ,~.~,~ ~-.~,._..~z/',,
....
1~1}~i~ ...... Yo~k Date filed.././. ,~.l.../).. ~ ..........
'/1/ - -
Qualified in ~uffolk Co u n?,,/f~ / /
Commission Ex~01rss May 31.