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Bk: 11010Pg: 119 Page: 1 of 2
Recorded: 08/15/2012 03:12 PM
Oxbow Professional Park,LLC
630 Silver Street Unit 3C
Agawam, MA 01001 •
(413)789-3720 Fax (413)786-2450 -
X62012
-Th-175
AFFIDAVIT
1 certify, under the pains and penalties of perjury. that two toilet rooms on the second floor of 8
Atwood Drive,identified as Toilet A (260) and Toilet B (259) on plans prepared by James Bright
Architect, dated 5-22-12. will be restricted for use only by employees of the tenant. The toilet
rooms are further identified by shading in the plan below.
Accessible Toilet Rooms shall be maintained on the 2n° floor level in accordance with the Rules
and Regulations of the Architectural Access Board,521 CMR.
Ma "ager 7 Dat-
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Official Receipt for Recording in:
Hampshire County Registry of Deeds
33 King St.
Northampton, Massachusetts 01060
Issued to:
OXBOW PROFESSIONAL PARK LIC
413-789-3720
Recording Fees
Document Recording
Description Number Book/Page Amount
AFF 00019375 11010 119 $75.00
ATM 0R
$75.00
Collected Amounts
> Payment
type Amount
Check 1267 $75.00
$75.00
Total Received : $75.00
less Total Recordings: $75.00
Change oue LOB
Thank You
PATRICIA A. PLAZA - Register of Deeds
ay: Debbie L
Receiptii Date Time
0252957 08/15/2012 03:12p