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ISize
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:lesley rl~Colwell
Kind of Pipe
Name
,,Address
Locatilln
Colwell deposite~:j2S,2q,
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Amount
/
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Date-Total
v 65
101 55
85
AmQunt-~:I
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,60
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~i Labor
Date
~l-'l.'1.,~
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!.M_.2
TOWN OF LEXINGTON-BOARD OF
WATER DIVISION
2 .."r/7
-.,.,
DATE rJ!c~,ti I~
PUBLIC WORKS
li<l4_...
The undersigned applies fOl'a supply of water at No.-I ¥a~St.and hereby agrees to
comply with the rules and regulations as now,or at any future tim~theBoard of Selectmen.
>--"Am't.of Estimate $d-)/
Am't.Paid $.;;""?
Buildcr _
Owner
Address
Sketch of Service Here
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Connection made in _
llC'marl-.:s;
__________Street.Work completed _19 •