Attest: R.G., Clerk.

OFFICIAL OATH.

State of __________, county of __________, town of __________, ss.

I, J.A., do solemnly swear (or affirm) that I will support the constitution of the United States and of the state of __________, and faithfully discharge the duties of the office of __________ of the town of __________, in the county of __________, and state of __________, to the best of my ability. J.A.

Subscribed and sworn to before me this _____ day of __________ A.D. 18_____

T.S., Justice of the Peace.

OFFICIAL BOND.

Know all men by these presents, that we, R.S., as principal, and B.B.S. and J.E. as sureties, all of the county of __________, and state of __________, are held and firmly bound unto J.D.E., E.C., and E.E., as supervisors of the town of __________, in said county, and their successors in office, in the sum of (five hundred) dollars, lawful money of the United States of America, to be paid to them as such supervisors, their successors or assigns; for which payment well and truly to be made, we bind ourselves, our heirs, executors and administrators, jointly and severally, firmly by these presents. Sealed with our seals dated the _____ day of __________, 18_____.

The condition of the above obligation is such, that whereas, the above bounded R.S. was, on the _____ day of __________, A.D. 18_____, duly elected (or appointed) __________ in and for the town of __________, in said county, for the term of __________, and is about to enter upon the duties of said office; now, therefore, if the said R.S. shall, will and does faithfully discharge all his duties as such __________ in and for said town, then the above obligation to be void, otherwise to remain in full force and virtue.

R.S. [Seal.] B.B.S. [Seal.] J.E. [Seal.]