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Labor
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T1"t.tckluz 1 hop.'-'7~7~
~o 70
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DATEt::.-_
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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J V'I'"
i f'T 10 I
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Connection made in Street.
Remarks:
Work completed ,19