I do solemnly and sincerely affirm in the presence of Almighty God, that I will support the Constitution of the , and of the State of , and that I will well and truly perform the duties of Councillor of the City of , according to the best of my skill and abilities.
Sworn to before me the day and year above written.
, City Recorder, of the City of , & Clerk of the Municipal Court of said .— [p. [1]]