HomeMy WebLinkAbout20160822130913782Resident Address: 10 CONNORS AVE A306 -mo— If this address is incorrect, make corrections below
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BRUN P MCCLELLAND
1 DOREEN WAY
PLAINVILLE MA 02762-1707
WARNING: Failure to respond to this mailing for 2 consecutive years shall result in removal from the active
voting list and may result in removal from the voter registration rolls. M.G.L. Ch. 51, § 4c
If there is an asterisk next to your name, you are a re
9 istered to vote. If you Wish to
*1
re ister to vote, you may register 'in person or by mail.
PLLA ASE PRINT 91
Signature of'Riespondent Date
Signed under the Penalties of Perjury as Prescribed by M.G.L. 56:1 §4. MALE NEUTERED FEMHALESPAY!ED ETOTA!L j]
TELEPHONE 4134785613 ENTER NUMBER OF DOGS
(for in-house use only)
See Reverse Side For More Instrucdons
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