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ACCOUNT #
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J(GRAINWOOD CIR NE, 4307
114700
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, ADDRESS
VIDMAR, THOMAS
OLD METER
NEW METER
5' " , lPtp" '3
.581&9-7 ../
Ser. No.
-?
Ser. No.
Digits
Reg.No.
Reading
&71.':rLf(/J(
JUly'Read: ~
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Size
. MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
Ground Yes A:: No_
''If Type
Lead_ copper~lron 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. WATERMETER S...E.~L WIRE IN PLACE.
. ~/ ~//
OCCUPANT'S SIGNATURE (-:~~/ ?f";J:~~~(
DATEJ'~~ /PHONE L;(///-.~273'"
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 &.4 WD
11/ " /0 J.-.