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Form No. 14. <br />TO THF. SII/PERINTPNDF.\T <br />6 r�by apply for the <br />1 �/ <br />tha[ n.... ...Inch tap be Ie <br />The ,p, �mber aho wlll dn n� <br />i <br />The o�nec ot the premises ia <br />� b � � / <br />V' _ .� en n . �.:. <br />No...IJ.�� — / /�� ........... Btreet <br />.............. . � <br />F.Cerclf�....... ..... ��i�i(�i'v .............. 1.!10.. <br />OF THE h:Vb:RETT N.\Th:R C0�1PAA`l': <br />usr ot wnter in ecr.on?wnre with th. rulrs nnd reR����tfons o[ the E�•crett Nnler Compnny,�nnd reqnest <br />acrted In the maln nt the pincr nbove fllfllP�I. / <br />y p�ork is... ... . <br />� <br />............... <br />_ . . <br />� .. ...�..`.('f/Y ................... <br />•TUe oHeni Is ............................. ......... ......................... <br />Thetcannt is ............................ ...... �.......................... <br />..................................�........�.. <br />.............................. ` <br />.................................... . ............ <br />The ��ater rrnt should be chxrBed to ...............•............. ..........,o. .........�./....� .��t......... <br />SlFncd..... � �T.. •'tncl•'<•-.. ....... ! � ... <br />(9cc Othcr Sidcl. <br />.... AnPlicxnt. � <br />i <br />