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MTU Installation. Request Form
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Dale
Meter size Offl( 0 r7~/l>
Meter SIN 77 I ~u, c2/
MTU#. --r~ o/Z.(a7<qQ
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Comments ~ 1/7/00
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Installed by ~_-
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ACCOUNT #
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FAIRLAWN SHORES TR SE, 5714
ADDRESS
OLD METER KNUDSEN, PAUL
NEW METER
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Ser. No.25242953
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Ser. No. /11 <6 b/o z I
Digits Reg.No.
Reading ~f' ~O X Size ~N'
JulyRead:-4370410 .
MIU Ser. No. 7''1.") 6 c c:r
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MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
Ground Yes _ NO?-
''t Type
Lead_ copper-#- 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 Yi400ur cooperati n. '
INSTALLATION ACCEPT. LE. ATE SeJ' WIRE IN PLACE.
OCCUP~~j0I;NhJURE r
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DATE Di. PHONE
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