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ACCOUNT #
ADDRESS \\ ;; . ~ NW, 3595-
'-' OLD M~T~LSON. BERNARD & ETH~WMET~R
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Ser.No. 77-1 J6(P~?
Ser.No. !~
Reg.r\lo.
15("1{1 ~ ~si~e
MIU Ser. ~~ly Read: 971700 ~'f1 ). SF
Digits
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Readinp
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../ 10
MIU Phone#
BI99.Type:
RPZ Installed Yes No
Port 1
2
RPZ Ser. No.
Service Size . "~
Ground Yes~_
Type
Lead_ Cop peA' Ir~n PiPe---:-
Comments:
,
Please keep this receipt for your records. The "final reading from your old wat~r meter
will be used in determining your next regular bill.
If you have any questions or problems, plea ontad,the Water Department during
normal working hours. Thank you for yo cooper tion.
.---
INSTALLATION ACCEPTABl~~E 1: R S~l WIRE IN PLACE.
OCCUPANT'S SIGNATURE (-..;~... v~
DATE p.-- frv(J"1 ~NE Lftf7-7 7~1
From 90080 (4-93) Copy 1 ~tomer Copy 2 WS . Copy 3 & W
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