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Dale Material Amount Total Date Amount i
~ov.26 147 Labor 31 33 31 33 1d1..;q i-,{7 .f]h ·7';-L go 0-0
I rl't ()verhead 3 13 L"'.¢r 4,;"t.S",r I
1461 6"Sewer Pin,@ .26 11 96 >rS"i,f
.T.....;'nt-Comn,,,mn 2 76 "
0';.,..",A f:;hnvR~5 h
'.~~s.@ 7.(0 35 00 ,.
Truckin.g 2 hrs.~.75 1 50 I
85 68 i
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Labor ,,-,,
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I TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
i SEWER DIVISION
~DATE.• . • . . . . . . . . . . . •• •• ••• ••NO.•••••••..
1_The unders igned appIies for Ihe construction of a partTcu rar sewer connect;ng No......•.•••••.
SIreet and hereby agrees to comply with the Ru les and ReguIation s governing the construelion a nd use of Particular
Sewers.as now or at any fu ture ti me established by the Board of Sel ectmen.
Arn't of estimate $....••••••
Arn't Paid$.
•Owner
Sketch of Service Here I =0
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Connection made in . . . . . . . . . . . . . . . . . . . • . . •. . . . . . .Street.
Remarks:
Work completed 19•.