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Oath of Office for Volunteer Fire Policemen
(New York State Municipal Low, Section 209-C.)
Sworn to before me, this ...z~...... day
of ............. , ,gz/.._
// jff ~:~EFFREY SCOTT SMITH
~ ' NOTARY PUBLIC. S~afe of New York
No. 52-3731950-Suffolk Coun~
Commission ~pires March 30, 1971.
Original to be filed with Town (Village) Clerk.
Copy to be held by Deportment Secretary.
Date fi ~_.~:;~e~....... / .~'. ~.,Z...
STATE OF NEW YORK
SUFFOLK COUNTY N*0 191
TOWN OF SOUTHOLD
', .~..~..~..~...l.~..(~.~..~J.~...~....~....~. ...... do 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..~...~.~,~...~...~...~....~...~?....c~....~ ......... Fire Department, according to the best of
my ability. .~
Signature..~.~...~ ..............................