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291600
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" 7'
XSREEZY POINT RD SEt 15379
ACCOUNT #
ADDRESS
OLD METER
FLOM, JERRY
NEW METER
Ser. No.
J
87140 '~ .....
. " 373. Q..'1~ Ser. No. 7710'l5~cr
Digits
Reg.No.
41//
Size ~
(5?~:?'Cb J(
July Read: 1551550
MIU Ser. No. t"){). "3l/ ~ 0 '15
Reading
MIU PhOne#
Bh:tg. Type:
Port 1
2
RPZ Installed Yes No RPZ Ser. No.
Service Size '~ Type
Ground Yes ~_ Lead_ Copper ~n 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 )\'orking hours. Thank you for your cooperation.
INSTALLATION ACCEPT~~RE IN PLACE.
OCCUPANT' SIG ATURE
J--.
DATE
IT
PHONE
Copy 1 Customer
Copy 2 WS
Copy3&4WD
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