HomeMy WebLinkAboutGlover, Allan W Original
Oath of Office for Volunteer Fire Policemen
(New York State Municipal Law, Section 209-C.)
STATE OF NEW YORK
SUFFOLK COUNTY ~T?
TOWN OF SOUTHOLD
I, . ...... ~.~.~,~.~.....~......~..o.~1~,,,~.. .................. do solemnly swear (or affirm)
~ or ~dz~t ~T~m~e)
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 ..... (,..~..~,.~.e~.~,m.~..~.~ ........................ Fire Department, according to the best of
my ability.
Signature ~.....~....~ .................
Address .~.~...~ ......................................
Post Office i..(~.~.%~
Sworn to before me, this ....~...... day Original to be filed with Town (Village) Clerk.
.~"~,~'~ ............... , 19..~Z. Copy to be held by Department Secretary.
of
No Date f >~'~ ....... r ./
// /,/~ ~,/ 3EFFREY SCOTT SMITH
~' ~' - NOTARY PUBLIC, State of New YorJc
No. S2-3731950. Suffo/k County
Commission Expires March 3~, ~'