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lVJ.'!'lJ Installation. Request Form
Dale' . 1/;8/07
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ACCOWlt.#
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Metel" size
III
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4-990 58+5
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Meter SIN
MTU# &0 54~
Check the f?llowibg:
Flow I / Meter seal ~
Main on 1/
C01l1Wents-'.) kJ</ I tL
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Ph.. ;-".-;-1.20 r ...ti... i/S -'-;1 ' / ~
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Installed bY,.p:-J/. I[;<?;O
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87900 .~ fD
ADDRESS
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FAIRLAWN SHORES TR SE, 5724
ACCOUNT#
OLD METER HUGHES, JERRY NEW METER
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'Ser. No.25242920 Ser. No. ::::tbrl "" \Jtv~ "3 ~
Digits .R~O. .
Reading H~ ~.~ .J.e.lo i2 ;I2Qi~ 7'h. ' I
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July Read: 625900
MIU Ser. No. ~4 ;005
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
'~ Type
Ground Yes.lt- No_
Lead_ Copper4 Iron 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. ,
DATE . -' 0 V PHONE
From S0080 (JoS3) . I Copy 1 Customer Copy 2 ws
11/1 I~ / (0
Copy3&4WD