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26200
ACCOUNT #
ADDRESS
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BROOKS CIR SE, 5359
OLD METER
.~ERKOW, LARRY
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NEW METER
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Ser. No.
/
17/x~~ ~3
Ser. No.
- (
Digits
Reg.No.
Reading
)16_7~JJ v\
,
July Read: 35970
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Size
~t to GC\ \
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Install.ed Yes
No
I,
RPZ Ser. No.
Service Size
Ground Yes ~o_
''% Type '
Lead_ copper~ Pipe_
Comments:
N eeJ. ~
Cl
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Please keep this receipt for your r~cords. The final reading from your old water meter
will be usedin determining your ~t 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 ~) J ! 4< /'':'-' ~ i(,MJ
DATE II /7/{)~ . PHONE -). (){O
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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