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Oath of Office for Volunteer Fire Policemen
(New York State Municipal Law, Section 209-G.)
STATE OF NEW YORK
SUFFOLK COUNTY ~T.O 202
TOWN OF SOUTHOLD
I, ~.../~..~D ~'/' ..~...~../~'~'~//~"/ do solemnly swear (or affirm)
('i~pe or ~z~ztt ~¢~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
~.~ ~-~o~,d~
of the ............ ; .......... ,..;.;.~, ........................... r,re Department, according to the best of
Signature ..
Add ress ...... .~.. ·. -~-'., .~'. · .~. ·..~...~..~..:. Z i..~.. ~ ...................
Past Office ...... ~.~...~...~..~.../.~...,..~...2~....'
Sworn to before me, this ..~....... day Original to be filed with Town (Village) Clerk.
of~/~ /'~ J~~'~' ........... , 19~./.... Copy to be held by Department Secretary.
Notary ~.~.~.~ Date 'ile~,..~..~..(..~...?/
/7 ~ I ~ JEFFREY $CO1T SM IT
V ' ' ~' NOTARy PUBLIC c .... H
~No. S2'3731950.Suffell; County
~-ommiss;en Exp;rel March 30, 1~71