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Get SOUTH SCHENECTADY FIRE DEPARTMENT

Dress Apt./Suite # City, Town, Village Telephone: State Zip Code HOME ( ) WORK ( ) How long have you resided at the above address? Years: Months: How long have you been a resident of New York State? Years: Months: Are you 18 years of age or older? Yes: No: Date of Birth: Do you have an assumed name or nickname? Yes: No: If Yes.

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