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Date Materilll Amount T<>IBI
9 Labor 52
opper 'l'ubing.$.24 _l6....--
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1 35.~~
14
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.3.29
75
6 00
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1 35
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1 -3/4"ext".W.H.W
TI"tt.elt!n,g 1 hI'"-<!l 75
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TOWN OF LEXINGTON -BOARD OF PuBLIC WORKS
WATER DIVISJ()Jf""'-'<'-
The undersigned applies for a supply of water at No St.and hereby agrees to
comply with the rules and regulations as now,or at any future time,established by the Board of Selectmen.
Am't of Estimate $.Owner .
Am't Paid $.Address .
Builder ......................................•...
Sketeh of Service Here
B I.<
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"",Connection made in Street.
Remarks:
Work completed 19
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