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I hereby authorize and request any and all my former employers and any other person, firm or corporation to furnish any and all information concerning credit-worthiness and personal background and I hereby release each such employer or other person, firm or corporation from any and all liability by reasons of furnishing the requested information. I also understand that I have the right to receive a complete and accurate disclosure of the nature and scope of the information requested if I request such disclosure within a reasonable period of time.
I understand that if employed any misrepresentation or omission of facts requested is cause for dismissal.
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Mansfield Drive-in Theatre & Marketplace, 228 Stafford Rd., Mansfield Center, CT 06250 Movies: (860) 423-4441 • Flea Market: (860) 456-2578 • Fax: (860) 456-9890
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