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386700
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ry
~OACHMAN CT NE, 14695
ACCOUNT #
ADDRESS
OLSON, ROY
OLD METER
3921032
Ser. No.
MIU Phone#
Bldg. Type:
RPZlnstalled Yes
No
j
I!
NEW METER
Ser. No.
/
'7 ? I K6Lf1 I
Reg.No.
Size 5 It' !/
- ,
Port 1
2
RPZ Ser. No.
Service Size /
Ground Yes _~o_
.~ Type ,
Lead_ copper-.llron Pipe_
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 problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATION ACCEPTABLE. "tATER METER SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE ~1tn,( 0 IS I)
-........- <.
DATE J~-IC/~d PHONE LfC/O-{C3/0
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD