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ACCOUNT #
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99000
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~ FRANKLIN CIR SE, 16216
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KOPYlOV, SERGEY NEW METER
ADDRESS
OLD METER
Ser.No.
21508248 1/
Digits
V'
Ser. No. 7 7 0 dJ.a <{ '3
Reg.No.
Readino /479 '10 ~
I
July Read: 67WQ D6 51/~25~ 71"'-
MIU Ser. No. . ,'../ 'P
MIU Phone#
Bldg. Type:
RPZ Installed Yes No
Service Size ''t
Ground Yes JNO_
Comments:
Size
~/7J
Port 1
2
RPZ Ser. No.
Type
Lead_ copper6on 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 ACCEPTA
OCCUPA~T'S~GNATURE
DATE \' dI f)o/!jV-
From 90080 (4-~3) Copy 1 Customer
f" Is
l WIRE IN PLACE.
Copy 2 WS
Copy3&4WD