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Budgets as proposed by the County Commissioners were approved by a County Advisory Board that consisted of a single representative of each of the 54 cities and towns in Middlesex County. The votes of the individual members of the advisory board were weighted based on the overall valuation of property in their respective communities.
The [[Middlesex County Sheriff's Office|County Sheriff]] and two
The county government also owned and operated the [[Massachusetts Superior Court|Superior Courthouse]], one of which was formerly in Cambridge (since 2008 relocated to Woburn.)<ref name="Superior court move">{{cite news |last1=Moskowitz |first1=Eric |date=February 14, 2008 |title=Court move a hassle for commuters |url=http://archive.boston.com/news/local/articles/2008/02/14/court_move_a_hassle_for_commuters/ |access-date=January 29, 2018 |archive-date=November 5, 2016 |archive-url=https://web.archive.org/web/20161105032846/http://archive.boston.com/news/local/articles/2008/02/14/court_move_a_hassle_for_commuters/ |url-status=live }}</ref> and one in Lowell; and the defunct [[Middlesex County Hospital]] in the city of Waltham.
The legislation abolishing the Middlesex County executive retained the Sheriff and
===Administrative structure today===
Records of land ownership in Middlesex County continue to be maintained at the two Registries of Deeds. Besides the Sheriff and the two
In Middlesex County (as in the entirety of the Commonwealth of Massachusetts), the governmental functions such as property tax assessment and collection, public education, road repair and maintenance, and elections were all conducted at the municipal city and town level and not by the county government.
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| [[Marian T. Ryan]]
|- valign=top
! align=right | [[Recorder of deeds|
| Richard P. Howe, Jr. (North at Lowell)<br /> Maria C. Curtatone (South at Cambridge)
|- valign=top
! align=right | [[Probate|
| Tara E. DeCristofaro
|- valign=top
|