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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
TOWN OF SOUTHOLD
('Z'~ge or Print Nsme)
N.° 170
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 ..~ .......................... Fire Department, according to the best of.
my ability.
Signature
Address ..~...,..~.......~..-......~~~
Post Office ....... .~,~nr:~4a,~.~ .............
Sworn to before me, this .....~...... day Original to be filed with Town (Village) Clerk.
of .~7~ .............. , 19~../... Copy to be held by Department Secretary.
Not~arY ~~..~'.~ Dat,, fi,;~ ....................
~' ' --NOTARY P~/BLIC, Slate of New York
No. S2-37319S0.Suffo/k Counfy
-~D, ommis~ion Foci)ires March 30, 1971