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v I IL..I I1ca ,cMV IL.C/]VIM I MN GMAN(;t UNUF_R <br />J rl'i'N ON <br />❑SHUT—OFF <br />❑NEW ACCNT. ❑U.C. ❑SWR. CONST. ❑MTR. CHANGE: <br />I^_ nLIC.T IOY V4DER P <br />40 <br />APPLICATION OATS <br />!0 8 <br />o-r Zo 3 <br />e0Y0 iPRL] <br />SERV.,ICE <br />ADO RESS,.. 3 <br />I3 1. 101 17IS � IL 2D � 23 21 25 2E 1] 2P 29 3D 31 32 33 31 3'. 3E 3] 3X <br />L� (i <br />DT <br />MORTGAGOR <br />EyLIV��I A-[IJ� <br />61 L uN O <br />NAIAE <br />/l <br />, <br />II <br />09 <br />BILL,STREET <br />I. CITY <br />.�• �// <br />I O <br />BILL, CITY <br />STATE, <br />LRI <br />BUILDER <br />Y'C � YE V.CL'JI'rI L+ <br />IIVM VNIiS 5 <br />> ❑ACCT. CLEAR SIGNED I� <br />Re MAR <br />J 5.O. 17 oY: <br />'r4. TURY CN'DFI GR \IrTCR GRANGE "ETEX DJE I] OAT[ IS <br />9EMOVE riEa. YoveEa PREVIOUS aF.D.lG Iq <br />tINSV/.VLL MET[Il YuvePa Itl PRESENT auc NG 2C <br />I � /. d 3 o o d <br />Rrl////JJ <br />❑O.N C3OFF [:]CHANGE BY: [�(,-r_ <br />NEVJ SERVICE <br />IySTA LLEO 7^�.3-73 BY:�� �ON OFF <br />BILLING DEPARTInENT DATE ENTERED 19 <br />OL)CRIPTION <br />VIAICP 23 <br />SEWER -24 <br />SEW[M <br />TRANSIT <br />5[PVICC <br />SCRVIC[ <br />2fj <br />COx31. <br />2tl <br />CXARC[ <br />TOTAL <br />C L'Ra CYT <br />CXAaC[5 <br />I <br />I <br />I <br />1 <br />I <br />e4E CNAPGC <br />LA LOIT. ADJ. <br />1 <br />I <br />I <br />I <br />I <br />1 <br />I <br />1 <br />I <br />REMARH5: <br />4640 <br />I <br />