Commonwealth of Massachusetts. To the selectmen of the town of [blank] in the Second Middle District. Greeting

These are in the name of the Commonwealth, to will and require you, in manner as the law directs, for calling town-meetings, to cause the freeholders and other inhabitants of the town of [blank] ... to give in their votes for one representative ... to represent them in the Congress ... Given at the Council-chamber, in Boston, this [blank] day of [blank] anno Domini, one thousand seven hundred and ninety-four ...