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22100
7
J\ BREEZY POINT RD SE, 15347
ACCOUNT #
ADDRESS
CARLSON & CARLSON PROP.
OLD METER NEW METER
25062521
Ser. No.
Digits
II ~h .)..~O /
. (
July Read: 416200
MIU Ser. No. ro.~o/30Cf7
Readina
MIU Phone#
Bldg. Type:
./
Ser. No. 77J() LJ:50J
Reg.No.
e /.. 1/
Size ----?/'X"
;
RPZ Installed Yes
No RPZ Ser. No.
Port 1
2
Service Size
Ground Yes L No_
''t Type
Lead_ Copper ~Iron Pipe_
Comments:
J{Le(tfL;t ~
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 ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE
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DATE . . 'If!, {/C./ fl.U / PHONE
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From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 VJI1 7
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