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LYONS AVE SE, 16796 J
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ACCOUNT #
ADJ)RESS
SIEMIENIEWSKI, JERRY . .
OLD METER NEW METER J
~l:~7;?, I 7. ""7/ 01 ~ ~ I
Ser. No. / I
Ser. No.
Digits Reg.No.
Readin{l t.;q'lf'1S-0./ Size r;~
July Read: 666880
MIU Ser. No. 0 0") '3 ~70 '?
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Bldg. Type:
RP:tinstailed Yes
. Port 1
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MIU Phone#
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No
RPZ Ser. No.
Service Size
Gro~nd Yes Z;;~-
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Type
Lead_ coppe~lron Pipe__
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ill.'
Comments:
Ple~ keep this receipt for your records. The final reading from your old water meter
will {:Ie 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.
~~. (.
OCCUPANT'S SIGNATURE . '.' ~ .~ W~
DATE J~ ;);)/ O~ PHONE1$)- C;,~ W
From 90080 (4-) , Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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