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_ __ _ _ <br /> Porm Vo. 19. � � � ���//� � �1� � cntlo no.�.., �.. <br /> Nn.........0. // .....�rr(�j <br /> . ....... ! ... . .... .... <br /> v <br /> Pccrett........... ...... . ... .. ............ I!10.. <br /> TO 'CI�IF, SUPG INTPNDPPT OR 'CIIP I:PPRRTT R'ATI�.R CO�(PdNS": <br /> I Ler li� ;tpply for the use of �c;t[cr in accordancr �rith tlic rnles and regul;rtians of tltc P•.verett R'nter Compnnp,nud re�ucst � <br /> th+�. a:.'......incL tnD bc insmted in the maln nt�tµ*�/Plaoe :�I ve s tl. i-� <br /> _ ' p0� �//� <br /> 7'hc. plipn sr w�im �cill do my �cnrk is.�.... ...O/!�." . / '." `..r............................:�.�... .............. <br /> . . .. ... <br /> 9�i.a o�� :^r nt G�c P'cmisrc ia... .....�.�. .......... .. .... ...�:...... .............................�.�...... .............. <br /> Thc aFrm is.. ....C�.... .............. ..............................���y... .............. <br /> .......................... . <br /> Phetenant ie............................ .................../ ............ ..............................�.... .............. <br /> Tho �cnter rent should bo charged to........... "'" <br /> .................. 7.1�, \.. .... .. . .............. <br /> .....�....... .(��� �........... .............. <br /> � S'Rned.3... �J...../.�it .� <br /> ISre OtLer 9ide). � ApP��cant. <br />