HomeMy WebLinkAboutDoroski, Theodore Original
Oath of Office for Volunteer Fire Policemen
(New York State Municipal Low, Section 209-C.)
STATE OF NEW YORK
SUFFOLK COUNTY
TOWN OF SOUTHOLD
I, .~.,~.~-~.X:I~.D..../~. ...... ,~...~..,~,.o..~./~.;. ........ , do solemnly swear (or affirm)
('E~pe or ]~-lnt Nm~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
of the .~-~.c~..-~....~.....~....~'..~f./~L-c,,~,~ ................ Fire Deportment, according to
the
best
of
my ability.
//
Sworn to before me, this ~...?.,.... day
o, ......
NOTARY PUBLIC, ~ ~ ~ ~
C~n Expire= ~ch ~, I~7~
Sig natu re~..~..~...~ [
Address .~ ...... ~. .............
°,ice
Original to be filed with Town (Village) Clerk.
Copy to be held by Department Secretary.
Date filed Y~t~:t~..........x~..~........../..~...'~.