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/ Form No. tG. • � <br /> � AFPLICATION FOR qDDITiONAL FIXTURE3, APPi�cnU�n No.................. <br /> ti <br /> �. � — nn......................... ................Strcet. <br /> . e � I <br /> � .o TO THI7ISIlPF.RIftTiitillF.nT OF THR F.CERP•.T �CATP:R C01fPAK '; P•.i•crclL \Cnsh.,.....�;,,. �� <br /> . .�i . ..150.� <br /> I herebY npply for �i�Id(tiounl uxc of i��nter In nrrnrJnnr �� � tli rnles nml regnlntlnnF ot thr Pecrett \Cnter Cnmpnny, <br /> ' o` (dr the purposes nnd flxturrs stnteJ belo�e; <br /> ,� �, <br /> . — • ' <br /> u _) Thc n•ork to Lc exucuted b7'......�r;e/�..V � � , <br /> " . . ................ . t <br /> 4 •........ ......... ./. � , � ...... .... ... , <br /> .. . ...:. P�icr <br /> .. � . �... <br /> � ' .... .....!..................... 1Vntcr Clnvete, <br /> m ......... ........... <br /> ........... <br /> ..... ........ ' <br /> ....�. .:.. .........: <br /> � ............ ..... ......................... IIntl�n. <br /> � <br /> �+ ......... ................. . .............. <br /> ................. ................................ Urinnls. <br /> f .......... <br /> ......... .............. <br /> � .............R <br /> ... ......................... <br /> i t' ... ................................ Plnin I•�RIICCIB. IpFIIIC. <br /> _ ..�.�he Premiaea ta Lc uxed as n.................................. Iinse Ribx� nuteld�. ........•.•..• <br /> m .............. <br /> � � <br /> , � <br /> i <br /> � .. Signed........ . .... ... ... .'��. <br /> ......APl�licnnt. <br /> _ _�' _ <br />