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178800 ,vi.
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"'AC.tOUNT #
ADDRESS
OMEGA TR SE, 15489 /
OLD METER
PAVEK, ARNOST F ..; NEW'METER
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err o. er. o.
k
Reg.No. /
JJr1f+-~/./ Size ivg /;Jbd,!
July Read: 19220
011 ,)~7J7~/
Dtgits
Re$ding
MIUSer. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Seivic~ Size
Ground Yes ~o_
"11 Type
Lead_ copp~ Iron Pipe----,--
Comments:
Ple~se keep this receiptfor 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 c/~~ ai~.) (--;~,j AJ '-c)..
DATE .U,I /1 tJ J. ___ .....< PHONE/i 1- ::<'. ,,? i.L q .;
Frorr'90080 (4-93) . Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
0' D '1