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TAVERN LN 5
Name Add,... 6'Ta.V e.~N ./..~l\Le...Location Service No. Kind of Pipe ..Si..~'~_ __.~!Jle of_Main ~" Repair-Renewal--New Service Location, Date Material Amount Total Date Amount ?5·So <l~4,1 (Q 1#Sew e..,.."P,:'D-, , ...----. I I I i DATE -- TOWN OF"LEXINGTON -BOARD Or PUBLIC WORKS SEWER DIVISION Sketch of Service Here I Connection made in "Street.Work completed ....................................•• Remarks:;. • • • • . • • • • . • . • . • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • . • • • • • • • •r ••••••••••••..••••••••••••••••••••••••••••••••••••• .........................