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DISCLOSURE OF APPEARANCE OF CONFLICT OF INTEREST ‘AS REQUIRED BY G. L. c. 268A, § 23(b)(3) ‘PUBLIC EMPLOYEE INFORWATION. «you have for } taking acton or making 2 decision? | Wat responsibnny Name ot pie eles: Mens A’ ‘Syne | Title 0 Position: | - Coy of Cereacler | Agency address: | = “ny BSS Ph STREET, Utncese, A OCB Oca Frans Ae 8-529) ‘Oee Ea FBenjtea le « ma = lay capt 8 ala, our of rnp neta, . eroded tak tin acon be fovamanca ny fil aes. Uae fe reunaanen a esenbl prs ends cone pono er opncaten coud vy ey my fora rrp uence wn Porto alan oat sly ert a srs eat frahan oion erin ene ofp arpa Lam eg eda doe ace sou i ean or alan ao ap ‘pone snot ten "APPEARANCE OF FAVORITISM OR INFLUENCE — fatiscemng bore you acon Order Eco Moresernum ord Cour Senge, Couey A Lote for a ageoast~ The Hom Expain your relationship or sation othe person or ‘xganizaton

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