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ACCOUNT #
476400 J(
VICTORIA CURVE SE, 16357
AqORESS
JONSRUD, ORVILLE
OLD METER
>t~90 l/77 /
.19923 V
Ser. No. Ser. No.
Size
NEW METER
;J /A )
/
/
/
I
Di~jts
Reading
0tf1/710 ~
July Rea~: 365500
>);~1~
Reg.No.
MIU Ser. No.
MIU Phone#
B1dg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size '~
Ground Yes -VNO-
Type
Lead_ copper'$...... Iron Pipe_
Comments: try ;J 1-' ~
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Please keep this receipt for your records. The finalkading from your old water meter
will be used in determining your next regular bill.
If you I:lave any questions or problem^ please contact the Water Department during
normal working hours. Thank you for 'Y4-ur cooperaticn.,
IN. STA.. LLA:nON ACCEPTAB~.IVATER M~tf ~ PLACE.
OCCUPANTS SIGNATURE_~\. 7'-' ~~
DATE '0-)(.,-01/ JlV PHONE z-l/Y7-(j J}7
Copy 2 WS V - Copy 3 & 4 WD
From 90080 (4-93) Copy 1 Customer
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