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f <br /> 4 <br /> ti <br /> AFFIDAVIT <br /> nam address <br /> -)---- <br /> and of sound 'Mind and legal age,- I voluntarily rake the following <br /> statement which I understand may be used in con tion with <br /> proceedings before the Massachusetts Commission Against <br /> D cri nat o' SFr the l a pee Board Selectmen. <br /> s NA R of AFF rAN <br /> S pro rn to and subscribed me this d air 19 <br /> NOTARY PUBLIC <br />