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Date Material Amount Total Date Amount
Ju]•.2e,-!4,r Labor ..2 lO,2-.l0~..1~9'2 ~~•c£otaa-
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38'-3/4 tr Coppelr 'l'ubln~@.~8 10 64 Non...Charge I f'/1e"L ...3/4"C x ~ft •W.B.·~&I 3 15 Jul.2611'4'1 L!l.bor 1620
=:1 -3/4ft C X 3/4'C Unicn (15 pts)1 32 27'-31!4 ff Copper 'tUbing @.2E 7 Po
o~Trucking 1 hr.@~75 ...75 1 c....3/4',C Carp_cock ,__.3 00
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DATE----------e
TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
WATER DIVISION
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 $ _
Am't.Paid $_
Builder _
Owner
Address
Sketch of Service Here
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Connection made in ~___'_~Street.
Remarks:
Work completed _19