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TOWN OF MASHPEE <br /> f <br /> DISCRIMINATION COMPLAINT <br /> residing at <br /> a ' s <br /> charge <br /> name <br /> address <br /> with unlawful discrimination against rye based upon sexual a ass- <br /> t in the workplace, on <br /> Date <br /> The particulars are <br /> HAVE NOT COMMENCED ANY ACTION CIVIL OR CRA, BASED UPON THE <br /> GRIEVANCE SET FORTH ABOVE EXCEPT <br /> x <br /> SIGNATURE OF CCS"A M.'r* m <br /> COW40NWEALTH OF MASSACHUSETTS <br /> COUNTY BARNSTABLE1 SS <br /> being duly sworn, deposes and sags that he <br /> is the Complainant herein: that s has read the foregoing com- <br /> plaint <br /> o -plaint and knows the contents o /his own knowledge except, to <br /> matters herein stated on information and belief, that as to those <br /> matters s believes the same to be true. <br /> SUBSCRIBED and sworn to before me <br /> NOTARY PUBLIC <br /> .Y COMMISSION EXPIRES <br /> The day of 1 <br />