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Please state your name and title and your occupation then please sign and date. In the comments you must manually sign again through a process of forward slash by the character “/“ please refer to the example as to form an idea on how to sign the petition twice.

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Court of Hundred and Court of Fifty by order of proclamation the first individuals from the town shall assemble by way of association and be designated JUDICATORES as dependent on their status of freeholders otherwise from this point forward to be known as dooms-men

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