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Oath of Office for Volunteer Fire Policemen
(New York State Municipal Law, Section 209-¢.)
STATE OF NEW YORK
SUFFOLK COUNTY N°* 178
TOWN OF SOUTHOLD
l, ..~T4/~./ew.~...~......L~..~....~..~..~TLJ....~.!.~....., do solertwlJy swear (or affirm)
(Type or Print Nsme)
that J wJJJ support the Constitution of the United States, and the Constitution of the State
of New Yorl~and..~tha~/I will_iv-, ~ ,~ v,.~-- faithfully discharge the duties of theoffice of Fire Policeman
of the ....... ~..~.~,~ .............. Fire Department, according to the best of
my ability.
Sworn to before me, this .~..~..... day
of
N~t~RY PIJI~.tC, 5'fil~' d~ ~ ~
Signature ~.~.
Address
Post Office ..............................................................
Original to be filed with Town (Village) Clerk.
Copy to be held by Department Secretary.