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ACCOUNT #
ADDRESS
BROOKS CIR SE, 5154 ,/
BUSS, JON L .(
NEW METER
OLD METER
(~~b~(P) .'
Ser. No._7 7,10 ffl r; V
Ser. No.
Digits
Reg.No.
Size V<? (0 Get 'r
Reading
Uk '3 1 tfT I
July Read: 1202090
~ 11 r;70 I
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
''if
Type
lead_ coppe~lron Pipe_
Service Size
Ground Yes ~o_
. ?1 L(-r Ov-,
Comments: L Qcr ~ ;~ 9 f 1/ Ovvt k.,C/ Se
-b 0 fat/Q. D 5-Ffr f/crfC},
S';Je
PI~se keep this receipt for your records. The final reading from your old water meter
wilL be used in determining your next regular bill.
If ybu have any questions or problems, please contact the Water Department during
no/mal working hours. Thank you for your cooperation.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE /Q.:;?a.:'",~ / ~~
--.;. PHONEiCf-7 -.lQ17 /
Copy 2 WS Copy 3 & 4 WD
DATE~ .{ tj- /() J-
From 90080 (4-93) Copy 1 Customer
It). 7 2/l (U.;)
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