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Date Material Amount Total Date .Amount
I 9/10/6'Labor 80 t;'1 \(,.:L~--L n.~..-,\-.Jot:>0/)-10%Q .H.8 05 88 58 F¥-/...,.'"~{,T¥.od;
i r::21 1';11 "'........it..Pin..Pl .82 IL2 ';1,,'-4'.""k'_s:'.b /.7 .<''?
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7'<-,1 o Transite Elbolo 09 /2'L
.1 "Adapter 1 62
3 1 rs.Town Shovel @ 6.$0 19 50
2 'JOe.Truck1Iut @ 3.00 6 00
Dt'ivevav Patch 1~.X 1 .1!J..00 I
,Street Patch 2!J...C O·.
2!J..00
220 ~43 !I,I.
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
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DATE..••••.•....••••,....••••NO......•••••
The unclersigned a pplies for the construction of aparticu lar sewer connecting No..... ..,. . . . . ... . . . . . ....•..
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particular
Sewers,.as now or a t a ny future time establishec by the Boa rd of Selectmen.
Am't of estirnate $.
Am't Paid $.
.....•............................Owner
,Sketch of Service He,.14
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Connection made i·n Street.
Remarks:
Work completed.. ... . . . . . . . . ....19..