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ACCOUNT #
W
~FIVEHAWKS AVE SE,16495
96400
ADDRESS
BRISTOL, CLINT
NEW METER
OLD METER
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Ser. No. 77 oa cr I r'f
.
Sef; No.
31849444
~. " "-'.-
Digits Reg.No.
Reading ;} C7 7~)Rf-4 Size 1J7~ {O ba (
July Read: 230~Cf r; q ""7/7
MIU Ser. No.7 " . /7
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size . ''t
Gro~nd Yes ~o_
Type
Lead_ copp~~on 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 tluestions or problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
, '/
OCCUPANTS SIGNATURE 11: /. h71. (
DATE JJII~/~ d--,> C, P~O~E-;;I J . t.;Y7 0-081
From 90080 (4-93) Copy 1 Customer Copy 2 ws Copy 3 & 4 WD
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