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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 ~iJ,O 201
TOWN OF SOUTHOLD
J ' J ' J JJ ~:~']( ......... ~ ....... SJ ' ' J J J~ J/Ii' ..................... ' do solemly swear (or affirm)
(Type or Print N~ne)
that J will support the Constitutiort of the United States, and the Constitution of the State
of New York~ anff that I will faithfully discharge the duties of the office of Fire Policeman
/I
of the ........~..~..c~...~o.~. ............................ Fire Department, according to the best of
rny ability. Sig not u re ~ .....~.~J~. ....
Address ....... .~....~f ...................
Sworn to before me, this ...~...... day Original to be filed with Town (Village) Clerk.
,e"~~ .............. , 19.~../.. Copy to be held by Department Secretary.
of
Notary ~.,~~ Date file .~........~....~.......~'...~..,~/
~/ //" 4~Fi~TARY PUBLIC, State of New York
No. S2-37319S0- Suffolk County 4~~,'~s~l~ ~'"~?/ ~/
Gommlsdon Expires March 3~J.