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ACCOUNT #
67300 ./
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ADDRESS
DAKOTA ST SE, 4823
OLD METER
PARLOW, RON
NEW METER /
ReadinQ
ser.No.i7(JQrt773
.' /Reg.No.
OC( 9, Lfo/ bO Size ~\~
MIU Ser. ~6.IY Read: 972310 () 0 -; ) g 7 r-(n
,<Irq 01 ~
~
Ser;-No.
Digits_
:"
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
''j/
Type
Lead_ Copper_ IronPiPe~
Ground Yes
NOY
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 ACCEPTA~ATER METER SEAL/~I~ I~ PLACE.
OCCUPANTS SIGNATURE ,1\(!'1./1Ai/~ 0/ L~
DATE / d - 7 - cJ .2.. PHONE <11./ -t= 2.. ~ ~ D
. I .
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
J 0/111/1-.