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· Oath of Office for Volunteer Fire Policemen
(New York State Municipal Law, Section 209-C.) .
STATE OF NEW YORK
SUFFOLK COUNTY ~T? 204
TOWN OF SOUTHOLD
I, . ............................................. , do solem, nly swear (or affirm)
(?3~e o~ ~lnt Nme)
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 .~.../~.../...~...~....~...~....~.-. ......................... Fire Department, according to the best of
my ability.
Sworn to before me. this ..Z~....... day
............... , ]9.?./...
~' ~ ~.._ JEFFREY SCOTT SMITH
NOTARY PUBLIC, State of New York
No, 52-3731950- SuffoJk County
Commlsslon Expires March 32, I~
Signature .... ~'.~...~ .....
Add ress . ,~7~..~...~.~/.~..~........~..~. ~.. ~ ...................
Post Office ....~...~....~..~...~.~...~....~...~ .....................
Original to be filed with Town (Village) Clerk.
Copy to be h~d by Department Secretary.
Date fi le .~.......~...../..~...~ ./..