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P.O. 1595 <br />On <br />r <br />ntered...L/.G.G....f/�.cc.:......:......:.:'...191Y. <br />................ <br />-Book No. <br />By... <br />Lot No. <br />Block No ........... 16/ ................... .......... <br />Addition............pp <br />Distance Ft ..................... I.. <br />B .................. Pt.....................in. in. <br />C .................. Ft.- <br />in. <br />D.—__ ......... Ft .......... ........In. <br />-.In. <br />Size of connedion ...... ... e,� ............. Z <br />Date of Installatim ....... <br />Property -------- C* ........... X ----------- D ------------ Line <br />A............. <br />Stop IT Cock <br />Line <br />Water Main <br />Name of Street.... <br />