14 BERTUCCIO AVE FORM C AFFIDAVIT OF SERVICE - PLANNING t�K;�ca�v�i} � Se�.v►ie,
1VERSAL®
UNV-12113
MADE IN USA
/R\SUSTAINABLE MM.RECYCLED
FORESTRY CONTENT 10%
INITIATIVE POST-CONSUMER
C.sFiber Saurtinp
wwwstipropram arp
swixo
Ac
� � -
2 v 2 nc,
9 5 � 3
c
-Q rr ► N - -
T ? In LO -5 :5 rt P'
AFFIDAVIT OF SERVICE
City of Salem provision M.G.L.,Chapter 39,Section 23D
For a City Councilor, board, or commission member, to sign upon listening to the audio of a missed
meeting and examining all evidence.
Per the City of Salem provision M.G.L., Chapter 39, Section 23D,
I, ren Ct Y1GIP�S�� , hereby certify under the pains and penalties of perjury that I have
examined all evidence pertaining to—)tA &9ULLIO N\ZC— -fbg 1 C A 1(�J fUA�Y(�-Which
was distributed at the single missed session on -TA 1 l 7t�lW which evidence included
an audio recording of the missed session. This certification prior to the undersigned's
participation in a vote on the matter and shall become part of the record of the hearing.
Signature Date 5 ��
Board of Commission
AFFIDAVIT OF SERVICE
City of Salem provision M.G.L.,Chapter 39,Section 23D
For a City Councilor, board, or commission member, to sign upon listening to the audio of a missed
meeting and examining all evidence.
Per the City of Salem provision M.G.L., Chapter 39, Section 23D,
I, l ton U}GtJA A , hereby certify under the pains and penalties of perjury t at I have
examined all evidence pertaining to \3e- VY) C- AIVA '60, which
was distributed at the single missed session on SU_ 1TI 20tLP , which evidence included
an audio recording of the missed session. This certification was submitted prior to the undersigned's
participation in a vote on the matter and shall become part of the record of the hearing.
Signature Date
Board of Commission fGywN ZaARC'
AFFIDAVIT OF SERVICE
City of Salem provision M.G.L., Chapter 39, Section 23D.
(A City Councilor, board, or commission member, to sign upon listening to the audio
of a missed meeting and examining all evidence.)
Per the City of Salem provision M.G.L., Chapter 39 Section 23D, I, l bRoR e AAWIYA 1 ,Q)o
hereby certify under the pains and penalties of perjury that I have examined all evidence pertaining
to M &l' UY� I p A\rC which was distributed at the single missed session on
2 j% -41 201lQ ,which evidence included an audio recording of the missed session. This
certification shall become part of the record of the hearing.
Name t ` Date 712l
AFFIDAVIT OF SERVICE
City of Salem provision M.G.L., Chapter 39, Section 23D.
(A City Councilor,board, or commission member, to sign upon listening to the audio
of a missed meeting and examining all evidence.)
Per the City of Salem provision M.G.L., Chapter 39 Section 23D,I, On le Nal-e-
herebyJ certify
yunder the pains and penalties of perjury that I have examined all evidence pertaining
t--o�� lel f}L'KIt' WO M. which was distributed at the single missed session on
2t 201( which evidence included an audio recording of the missed session. This
certification shall become part of the record of the hearing.
Namei� Date _ r7 L
AFFIDAVIT OF SERVICE
City of Salem provision M.G.L., Chapter 39, Section 23D.
(A City Councilor,board, or commission member, to sign upon listening to the audio
of a missed meeting and examining all evidence.)
Per the City of Salem provision M.G.L., Chapter 39 Section 23D, I, i-ehK
hereby certify under the pains and penalties of perjury that I have examined all evidence pertaining
to-y_1V�M &m � Ave. which was distributed at the`single missed session on
2, Z WS ,which evidence included an audio recording of the missed session. This
certification shall become part of the record of the hearing.
Name Date
AFFIDAVIT OF SERVICE
City of Salem provision M.G.L., Chapter 39, Section 23D.
(A City Councilor, board,or commission member, to sign upon listening to the audio
of a trussed meeting and examining all evidence.)
Per the City of Salem provision M.G.L., Chapter 39 Section 23D,I, Tl 'len s Id-e.S
hereby certifyunderthe pains and penalties of perjury that I have examined all evidence pertaining
to 1"1Jbef\ �1(L1 b A\e which was distributed at the single missed session on
—7Une, 2� 201(Q ,which evidence included an audio recording of the missed session. This
certification shall become part of the record of the hearing.
Name �` b�/C Date G I fo + (e