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ACCOUNT #
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~FOX HOLLOW NVV, 2966
ADDRESS
BAUMGART, WAYNE
OLD METER NEW METER
q~2'f1;~7
4301714 .
./
Ser. No. 77~ 1;1;] ~ ~
Ser. No.
Digits
Reading Jq 2'171/7) .~
. WRead~3~
Reg.No. "
Size 5k.1
I .....
MIU Ser. No.
51~D~~
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
"~ Type
Ground Yes T No_
Lead_ copper~ Iron 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 ACCEPTABl~ WAy!=R M~R~IRE~ PLACE.
OCCUPAN~T' SlfNATURE !}v-[;J (I J r1;JL/' -
DATE r PHO~E
7i 7S0~4- 3) Copy 1 Customer Copy 2 wi, Copy 3 & 4 WD
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