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I'orm No. 14. <br />' � � ;r���`,>. Gl�l <br />��" � �� - - �- - <br />��� .� �i <br />,_ APPIIcnHonNa..�t:45±......, <br />�� � `6 �._.�vc ..�.�-�... st-��- <br />> <br />n� ...................................�� .- <br />i f ," . . <br />Peerctt�.. ...... �..�.�:K........... 190,? <br />� TO TIIIi SiJPI'sRINTI;\llPUT OF i'71P F.JF.RGTT lP.\TSR CO\IPA\S: - <br />I hereby npnly for t6e uFc of �^ater In acrordnnce e'ltL lhe ruleq nnd rrqulntlona o[ the liecrett R'xter CompanT, nnd reqacet <br />Uint,n:....lr.'..IneL tr�p be ins�rted In tLe mnin nt. th�• pince nboce atnled. � <br />7'hc' plumLei µ�ho n�Ill do ntv �vntk Is .................. .................................... ..........••• <br />..................... , <br />.: jl ��� �[,'♦� i�. � � . � <br />Thr onrorr ot the Pr�misos Is.:.....:��.,ic--4-u:../V`'..h�'—tcc".-:4'.':~.��-.-!:��::�--........ ............. ..........�... <br />Thr a[;rm is ............................. . ........... �.T.................. .................................... ........ � ... <br />\ <br />Thetrne.nlix ............................ ............ ...................... .................................... .............. <br />Thc u�ater rrnt shonld be charRed to ..................�v A:.........../....... ....../•-�...................../...... .............. <br />SlRned . L!'..' .cc,R....�[ . .00L/+f.-:l:.taP.-n1�4/%!l.�,e; . . . ... . .. . ... . <br />13re Odtr1'.a71de1. �Appllertnt. <br />