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The Committee appointed to prepare the form of a Return, to be printed on the back of the letters to the Selectmen of the several Towns and Districts, &c˙, reported. The Report was read and accepted, and is as follows, viz:


Pursuant to the letters within written, the Freeholders and other Inhabitants of the Town of ˙ ˙ ˙ ˙, qualified as is therein directed, upon due warning given, assembled and met together the ˙ ˙ ˙ ˙ day of ˙ ˙ ˙ ˙, 1775, and did then elect and depute ˙ ˙ ˙ ˙ ˙ to serve for and represent them in the session and sessions of the Great and General Court or Assembly, appointed to be convened, held, and kept at the meeting-house in Watertown, upon Wednesday, the 19th day of July, 1775; the said person being chosen by the major part of the electors present at said meeting.

Dated at ˙ ˙ ˙ ˙ aforesaid, the ˙ ˙ ˙ ˙ day of ˙ ˙ ˙ ˙, Anno Domini 1775.

Selectmen of ˙ ˙ ˙ ˙ ˙

The person chosen as aforesaid, notified thereof and summoned to attend accordingly, by me,

Constable of˙ ˙ ˙ ˙ ˙