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XV~I1LDS PKWY NW, 15271
612800
ACCOUNT #
ADDRESS
LARSON, TIMOTHY & HOLLY
OLD METER NEW METER
5"?l'~ 1>77
.12871122 ../
Ser. No.
Digits
Reaf"9
Ser ~-No.
.----
,...---
Reg.No.
~q~i5~~
...JlJly Realt 358610-
51ro D1>1
Size
MIU Ser. No.
MIU Phone#
Bldg; Type:
Port 1 2
RPZ Ser. No.
''if Type
Lead_ coppe~ Iron Pipe_
RPZ Installed Yes No
Service Size
Ground Yes ts- 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 workin.9 hours. Th..ank you for Y'>Uj1;p'....ra.....t.'..o.. n..........l. .
INSTALLATION ACCEPTABlE.bT (1~;j 7r~l ~~R"-\N ~.
OCCUPANT SI NATURE .,. U " . 11 / / . IY /;- Y
DATE PHONE L/
copy 2 WS
Copy3&4WD