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DateTotal
4 00
AmountMaterialDate
.May 9.49
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I -BOJ &:~od 3 95
1 -in Str.l1~t Tail Piece 37
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DATE,---l....;...,_--
TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
WA?iEI 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 .
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Connection made in ;................Street.
Remarks:
Work completed 19
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