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~?tVE HAWKS AVE SE, 16571
MOLDAN,CAROL
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ACCOUNT #
ADDRESS_
OLD METER
NEW'METER
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Ser. No. 7 7 I (J44-!~
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Ser.No.
Digits
Reg.No.
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Size ~ (' (/ / v 6~ r
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Ju~y Read: 579150
MIU Ser. No. ~)I) S ~ ~
Reading
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Ves
No
RPZ Ser. No.
Service Size
Ground vesA No-,--
''if
Type .
Lead_ coppe~on 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.ACCEPTABLEWATE~\ MET. ER SEAL~!RE~CE
OCCUPANT'S SIGNATURE C J;\ "" ~ "1\)\~ d ^^ JV\ ~)
DATE , UL!;! () d-- . PHONE4tfO'- 1)0 g 7
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Copy 2 WS
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