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COMMON~iVEALTH 4F MASSACHUSETTS.
W~r~. ss. PROBATE COUR1'.
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KNOW ALL MEN that I._ . . - . - ~ ~ _ _
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Lr.th-!4-_ . _ „ 1- __in t#~e State of.. . ~ ~ ':rs._~.. _ . .
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~ppointed by ssid CAuri -~t o~~Y».~Mw~e - Pxecut:• of the v? ill - Mwioe
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- late - of..-----------.t-~:,.""::? °~..~~.s:~.~ i~~ sxid County of ~t'orcester-deceased-.
under and in compliance with the ptovisions oC the ('•eneral I.aw•s of said CommunweAlth.
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apQo~nt----- :,t~:~ •~f - ~:~-~-s~.
do he.reby ' * ~ _ .
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of-------•-•--~- ---~?!~._G4=zZ:- _ .in the County of-- ` . ~ F
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snd Commonw?ealth aloreaaid, as my agent. and I do hereby stipulate and agree that 11~e
service oi any legal process against me as such admi~isirat - execut r~ -~r~sise..-
_._--.-_---co~ee~wet~s. or against me irt my individual
cspscity in aRy action founded upon or ariaing oat of my acts or omiasiona as such a~iw-
~iiit - euecuit~5 Mre~e - gua~ii~w -
~wiMr - if mxde on ssid agent. shall have like effect aa if made on me personaily within
~aid Comunonwesith.
IN WITNESS Vb'HEREOF, I have heceunto set my hand and seal this..
- - - _ _ . day of-- , 19 _
$igned ~ad 3ealed in presence of j~
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I. the ~above-nsmed
hereby accept the abo~ e appointm~nt. ~ _ • , ~
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