11C-005 (7) //e
November 1, 2004
To the city of Northampton.
We will be residing at our residence at 4 Heffernan Street Leeds, Ma. while under
construction ctm , " 1uz, •c '_,L, ,
OMR,
t;ommonwealth of Massa hus s l/- I) .E 6 {
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Hampshire, S.S. Date .....a........r......�1... I
Then personally appeared t e a ove r(amed NOV — 3 2004 j
and acknowledged the foregoing instrument
,o be his free act and deed, before me, UENO KaA BUILDING MAP010
Raymond S. Elliott, Notary Public
My Commission Expires ó/ o C
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