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FORM C: STATEMENT OF ADDITIONAL DEPENDENTS.
 
   CITY OF BOSTON
   OFFICE OF THE CITY CLERK
 
   Statement of Additional Dependents
 
Our domestic partnership/extended family (circle appropriate term) now includes the following additional dependents:
                                                                              
                                                                                                                                                                 
I declare under the pains and penalties of perjury that to the best of my knowledge the foregoing statements are true and correct.
 
Signed:                                                                  
 
Printed Full Name:                                                  
 
Date:                                                                     
 
12-10   RESERVED.
   [Reserved]
Editor’s note:
   Former Section 12-10, Establishing the Boston Employment Commission, previously codified herein and containing portions of Ordinance Nos. 1986 c. 12, 1986 c. 13, 1986 c. 17, and 2010 c. 9 were repealed in their entirety by Ordinance No. 2017 c. 1, § 1.
12-11   NEIGHBORHOOD JOBS TRUST.
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