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FAIRLAW,N,~HORESTR.SE, 15076
ACCOUNT #
,ADDRESS
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i
.Ir'~
OLD METERJOHANSON, MARK
NE7TER
Ser.No328521137.
:::inoZ :} q ~ X
July Read: 811720
MIU Ser. No. OO'S" '-f ~. L( I ~
MIU Phone#
Bldg. Type:
Ser. No.
::;:JD~1~/D
Reg.No.
<5"";3 I'
Size
Port 1
2
RPZ Installed Yes
No RPZ Ser; No.
Service Size
Ground Yes V' No_
Comments:
"~ Type
lead_ CopperK Iron Pipe~
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. WATER METER SEAL WIRE IN PLACE.
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P'
PHONE
OCCUPANTS SIGNATURE
DATE I 2i/t6/U 2--
Fr.omZ..9080 (.4-93) Copy 1 Customer
II
. I
Copy 2 WS
Copy3&4WD
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