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AGCOUNT#
311500 vI'}~ ~
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BALSAM ST SW, 3470
ADDRESS
OLD METER
JACKSON, ED
N~W METER
"Ser. No.
474040
Ser. No. 7 7DJ.9iCS /
Reading
. ?:2.2YP/
Reg.No. /
'11'
Size ~$' './
Digits
July Read: 693650 /
MIU Ser."No. . C035 ~7()'),
MIU Phone#
Bldg. Type:
Port 1
2
.'
RPZ Installed Yes No
RPZ Ser. No.
Service Size ''t
Ground Yes ~o_
Type
lead_ Copper ,/';"ron Pipe_
Comments:
Please keep this receipt for your records. The final reading from your old water meter
will be used in determining your next regular bill.
If you have any questions or problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTAllATION ACCEPTABlnWATE~ME~Er SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE Ga:1Y !::1~}/~
DATE / () - / - 0 ~ P~ Ci~~ - f} dit2 - ;) 7 d- y;
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD