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Province of the Massachusetts-Bay, ss. Jeremiah Allen, Gent. treasurer and receiver general for His Majesties said province
To the select-men or assessors of the town or district of [blank] Greetings, &c. In observance of an act ... These are in His Majesties name to will and require you forthwith to assess the sum ... Given under my hand and seal at Boston, the second day of July, 1716