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/ u Acct. No. :5- -b ......... <br />w. .J Oot" 3 7,000? <br />CITY OF _Watur Depte <br />le inch A ...... 19 <br />........... ...... j <br />.. ..... <br />Date <br />Application No.... .... , . .... I . <br />water service Pipe <br />Install ....... <br />Contractor <br />Block No...._......_......_..... <br />.......................... <br />. .Rec.14. 0..... ....... ...... . <br />By ........... . . *— ....... 614per <br />............. <br />.................. ................................................................. <br />Shop Renaarks--*-****** ........ ....... .................................. I ....................... <br />.... — ....................... ................................. . .......................For <br />Work Completed.*-*,*,,*,,* ......... <br />