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Oath of Office for Volunteer Fire Policemen
(New York State Municipal Low, Section 209-G.)
STATE OF NEW YORK
SUFFOLK COUNTY N.° 165'
TOWN OF $OUTHOLD
.~ )~,,o..~.~. ~..T..~
I, . ........... 2. ......... : ............. o solemnly swear (or affirm)
('~ or Print Ng~ne)
that ~ will suppor$ the Constitution of the United States, ~nd the Constit~fio~ of the State
of the ...... ~..~-~..~ ..................... Fire Department, according
Address
.... .....................
Sworn to before me, this ..~.... doy Ori~inol to bo filod with Town (VilloUs) Cl~rk.
Copy to
PUP, LIC, St~ ~ RI~,
~2-§g04925, Suffolk
Expires Mm*ch 30, ~11