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Labor,
DATE _
TOWN OF LEXINGTON -BOARD OF PUBLIG 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 1.9.0 W.a!l.er.1.eiv...S:tr.ee.t .
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Connection made in Street.
,Remarks:
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Work completed ;19