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--. .� — - - -�'�o - � , <br />Form �o. 14. ���� <br />�' i :�PDllr,nllon 7�n. ...... <br />..� � oq �- / � .�.... <br />\u ..............v......!j,2::?:�:c.�:V:-�,�:f. �'�.�..... SUcc[. <br />Frerott,........C. .)..: ... . s . —�- n..... 1D0.'�`, <br />� .......�........ <br />'CO THR SUPL�`RINTRNDIs\T OR 7'IiP El'IiI2IiTT \C:\Th:R CO\IPANY: / <br />I hereby appt}� for tl�e nse o( wuter in nccm�dnnee witii tlm rules and regulntious of Lhe Et�rrott R'a[er Compnny, nnd reqnest <br />thnt n... Ly....(nch tnp be Insettsd in I.he mnin at the place a6ove stated. <br />The ` . ' , \� . <br />UC.ntU��' «'ho �vill do my �cnrlc is.....�.. �\ � �%. ` CU-c �,..�.uc �r . <br />..........,. � ............. ............................ <br />... � ......... .............: <br />^.: : <br />Thr on•tfrr of the Prem;ses Is ................. ~ '� � _..- �iC'- � <br />� -�.:..-.� ..:...�-.,�.::-... ......... <br />........................... . ..... <br />.. ... <br />T��c aeeni Is .............. ,�u - . <br />............... ................. <br />.�,. ................ .......................... ........ <br />.............. <br />�Chc trauintis ............................ ............. "`!-- <br />........:.......... ...... <br />...................�......... .............. <br />7'hc n�:�trr ront sUould bc charged to............^�`-�^"-"-�y \ <br />.................... . . . . \ ..... <br />.. .. ... .......... <br />� SiFncd ....................•. �/ <br />lSer Other 9l�lc). . . ......... ..... <br />.... ADP cnnt. <br />