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/ --- <br /> Form \a. 14. �5 / / � <br /> , �� � ��p���{�C�P/p,on No...'.:...v.�j.L.. <br /> l� <br /> Na.............. ..... ✓ Yli'l/d�2�'!"?.�JlJ/�$i <br /> •••••• �• •�• /6��y 8veet <br /> F,�•crelt�.........��.:.. ...:�� (J•......... 190� <br /> TO THE SV�fNTENpghT OF THPL F.VF.REPT W,1TBR COTIPANS: ` _ <br /> �� e aDP�Y �or the uee ot wa[er In necordancr a�ith lhe rnleq nnd regulntlona at thr F.cerett\Vnter Compnnr,nnd requeat <br /> � that, t.�_; .... - <br /> 1 � ..Inch faP be Inserted ir [he mafn nt fhe pinrn nbnce atnted. <br /> /' O� PI�MAer a�ho u�iil do my q�ork Is.."�" � �� <br /> _ ` `T';y✓�<<-� ........................'......... <br /> .................. <br /> .............. <br /> Tha awner ot lhe preminrn In............'�....� - <br /> �..-- . <br /> .9... ..�....................... ............................ <br /> .............. <br /> Tha nK�m In............................. .�i�''� .................... ....... <br /> .. ......... .... ........................ <br /> The tennntis................... . _ � .... .............. <br /> ......... ....... . ... � \ <br /> ..... <br /> ............... <br /> ,�/ ............................ <br /> � The water ren[ shuuid be rhnrRed to.......... ' - � <br /> " V..:- ..../��../............... .:.....' .. .... ............. <br /> � �....... . . . . <br /> � ��, � �1 � <br /> ......... <br /> ........ ... <br /> ISec OthPr 91do1. 31�ned.............. „ri;:'J,1cs � <br /> // . �................ .......... <br /> v �nVl�cant. <br />