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N_B ....Merriam Service No.120
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~D".-•t NeW Service Locafion
Date ___Material Amount Total Date Amount
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0-6-<::7 .-~ficl II,?;'--/0-$7 A:;b"....l::#'/00 <10
,n <£O_'H f..Inl,;:.,t.;:'/0 -;>--J?
//d~J 71.v~?"\:2-7
f,7 /"~~1::'-2-.2.4-'6tI 'I'rana.1:te P1ue @.70-1~.90 t
1 f f1--r,1 ..v li'1h....,.88
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Labor -
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HP-64Il
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .••••.•••.•..•••.•••••••NO.••••••••.
The undersIgned appIies for the construction of aparticular sewer connectLng No.. ....•••••••.••••
Street and hereby agrees to comply with the Rules and Regulations govern;ng the ccnstruction and use of Particular
Sewers,as now Or at any future time established by the Board of Selectmen.
Am't of estimate $..•..•.•••
Arn't Paid $.
4 ••4 ~••,.4 ~'O Owt'ler
Sketdl of Service Here BtJ/LDJHG-.
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Connection made in . . . . . . . . . . . . . .•• • . . . . . . . ....•.Street.
Remarks:
Work completed ,19•.