HomeMy WebLinkAboutOrlowski, AlbertSTATE OF NEW YORK
SUFFOLK COUNTY
TOWN OF SOUTHOLD
Original
Oath of Office for Volunteer Fire Policemen
(Ne~ York Stere Municipal I. aw, Section 209-C.)
N.o
179
//
Sworn to before me, this ./..~...... day
~RY PIJI~LIC, ~tl~ ~ ~ ~k
C~fl Expimt ~h ~, t~t,
('t~j~pe o~ ~"~t Naa~e)
that I will support the Constitution of the United States, and the Constitution of the State
of New York, and that~l will faithfully discharge the duties of the office of Fire Policeman
of the ..~.~...~....~..~..~....~.~...~....~.. ................. Fire Department, according to the best of
my ability.
Signature ...~~..~...
Address ~..~.C..~.~
Post Office ..............................................................
Original to be filed with Town (Village) Clerk.
Copy to be held by Department Secretary.