HomeMy WebLinkAboutShalvey, Thomas L Jrs
worn to before me this.../.., .... day
· ' ~ Notary Public
JUDm-I T. TERRY
Notary Public, State of New Y~'k
No. 52-0344963
Qualified in Suffolk County
Commission Expires May 3~, I~Z.J
/
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"~'~Z)~T~..L".'-.'~-~qIV-e'Y'.."~ .. do solemnly swear (or affirm)
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.
Sig nature..~.~..~.... ~ .~ ....
Address... [1~.~-$4~... ~.O~ .......................
Post Office.. ~-~/.~.~. C.~:~ ~j. ~,, .....................
Original to be filed with the Town
Clerk. Copy to be held by Depart-
ment Secretary,
Date file . ~, .................