2024 Annual Report

of MA Municipal Sealers

of Weights and Measures

Part C

Reporting for the period commencing January 1, 2024, and ending December 31, 2024

Form Submission

Pursuant to Chapter 98, Section 37, please complete this form and submit by clicking on the submit button at the bottom of this document once you have completed the form to the Division of Standards no later than end of day on January 31, 2025. Questions may be directed to the Division via email at standards.mail@mass.gov or by phone at

617-727-3480.


*All Questions indicated with a Red Asterisk are fields requiring an answer.


The Annual Report ID is your Municipalities’ Name followed by AR24 (for example: Randolph-AR24)

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Devices Tested

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Quantity sealed

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Enter in dollars and cents - Ex. 26.05

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Enter in dollars and cents - Ex. 26.05

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Enter in dollars and cents - Ex. 26.05

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Enter in dollars and cents - Ex. 26.05

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Enter in dollars and cents - Ex. 26.05

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Enter in dollars and cents - Ex. 26.05

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Enter in dollars and cents - Ex. 26.05


Compliance Statement

The foregoing comprises my annual report for the period ending December 31, 2024, and is herewith submitted as required by law.

You may electronically sign this form by typing an S-Signature (/s/ and first name then last name): /S/John Smith


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NOTE: if you want a copy of your responses, you MUST check the “Send me a copy of my responses” box below. If you do not check the box, you will NOT receive a copy of your submission.