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104100 (8-
ACCOUNT #
,x
FRANKLIN TR SE, 16539
ADDRESS
OLD METJfEUNOSCHUH, OOUGLASNEW METER,
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Ser. No. Ser. No.
Digits
I I
. Reg.No. ^/
vX Size / A
Readina
000 ;<j'ff: 00
July Reed: 227220
MIUSer. No. O() ~4"SCJ09
MIU Phone#
Bldg.. Type:
Port 1
2
RP.Zlnstalled Yes No
RPZ Ser. No.
Service Size / ''t
Ground Yes ~o_
Type
lead_ copper/l'ron 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 ACCEPTA~. WAT7~ METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE \lL~ ~
, I ,-
DATE t }~l_l- 0'1-. PHONE
From 90080 (4-93) Copy 1 Customer . Copy 2 WS Copy 3 & 4 WD
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