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403000
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ACCOUNT #
ADDRESS
J( SURREY LANE NE, 14580
OLD METEAAWlOCK!, JOHN & SAll YNEW METER
Ser. NO.
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.5238331- '19'1)5/6' Ser. No.
fI/;
Digits
Reg.No.
C!I~O/J v\ Size
Reading
July Read: 5~720
MIO Ser. No. lID~l/b2S1
MIU Phone#
Bldg; Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
Ground Yes ~o_
. ''% Type
Lead_ Copper~ron 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 ACC.EP,TA~LE. W,,!.EHM,ETER,.SE,ALWJ;.E INPLACE.
OCCUPANT'S SIGjlATUR0 Jr1.JL,-:'(oJ1Jtrt' 'U
DATE /d.-ldo /0 J--- - 1 /) r6l;NE159:--f41-7 706
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From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD