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SHERMAN ST 4
Name Addreu 4-_oSh EtV-M Gl J{__$T yo e e.-r Kind of Pipe Repair-Renewal-New Service Sise 6 1; Location Service No. Sise of Main cg II Location Date Material Amount Total Date Amount I !I I I DATE -- TOWN OF"LEXINGTON -BOARD OF"PUBLIC WORKS SEWER DIVISION Sketch of Service Here I Connection made in . . . . . . . . . . . . . . . . . . ...Street.Work completed ....................................•. Remarks:~. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •f •••••••••••••••••••••••••••••••••••••••••••••••••••