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~'CCOUNT #
ADDRESS
MANITOU RD NE, 15164 .j
OLD METER TOLTZMAN, BRIAN / NEW METER
t+{p Cf g~} 30
'Ser. No.itaua~'" .
Ser. No. 77/ CJ L{S- 73 /
Digits_
Reg.No. j
'iff? If htr'
1-17~Cf V~ Size
July Read: 1110230
,MIUSer; N<?, 0 () '51) ~ ~)" /
Reading
MIUPhone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
'~ Type
Lead_ Copper~ron Pipe_
Ground Yes.2( No_
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 proplems, please contact the Water Department during
normal working hours. Thank you for your,cooperation.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
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OCCUPANT'S SIGNATURE !Jr1A;/,/--, /Lt<YA. . ., ~
I?ATE 1.1 - 0 1-0) . . PHONE~() 1 (,2lf /
From 90<180 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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