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ACCOUNT #
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28600
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X BRUNSWICK AVE$E, 16661
ADDRESS
M.AKI RICHARD
OLD METER
NEW METER
21843328
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770 <X '.',..... r\
Ser. No. U
Ser. No.
Di~(ts
Reg.No.
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July Read: ~ 4800
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MIU Ser. No.
MIU Phone#
Bldg.Type:
RPZ Installed Ves No
Port 1
2
RPZ Ser. No.
Service Size "~
Ground YeS~NO_
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 ACCEPTABLpW~~ER M~;~R SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE 1 ~ .~" L .it w
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Copy 1 Customer Copy 2 WS
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DATE
From 90080 (4-93)
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Copy 3 & 4WD
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