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I also acknowledge receipt of the City of Somerville CORI Policy. Print Name Signature Date Page 1 of 2 CITY HALL 93 HIGHLAND AVENUE SOMERVILLE MASSACHUSETTS 02143 617 625-6600 EXT. 3300 TTY 617 666-0001 FAX 617 666-4426 EMAIL personnel somervillema.gov www. somervillema.gov SUBJECT INFORMATION Attach photocopies of two forms of government issued photo identification card. By signing below I provide my consent to a CORI check and acknowledge that the information provided on Page 2 of...
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