HomeMy WebLinkAboutSturcken, Anthony COATH OF OFFICE FOR VOLUNTEER FIRE POLICEMEN
(New York State Municipal Law, Section 209-C.)
Sworn to before me ~his .... ~ .... day
.. '
....
~' ~ Notary Public
JUDITH T. TERRY
Notary Public, State of New
Qual,.,No. 62-0344963
,,__ . [f~lin Suffolk Cauntv
~4~nm~samn F~e~ May 31,
STATE OF NEW YORK
COUNTY OF SUFFOLK
TOWN OF,SOUTHOLD
(Typ~'~t:'P~:int Namei ........... solemnly swear (or affirm)
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,
to the best of my ability. ~ .& .~.~ing
Signature .......
Add ress.· ~..~. ~ .~:-C~.. ~..~../'..~.. ~.Z~ ....
Post Office. ~~ ./..~..~
Origin? to be filed with the Town
Clerk. Copy to be held by Depart-
ment Secretary.
Date filed~-~..~'~/.~....~.. ........