PRINTED FORMS. RARE Boom
Derr, Roxbury, Mass.
XMs.G To CMr. Daniel Child] Your commonwealth tax...
«365 Your town tax ...
91 CRoxbury? 17897]
p.4 broadside. 8x11l.5cm. Printed form filled out in manuscript. Signed by David Weld, Collector; dated, in
manuscript, Roxbury, June 1, 1789.
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