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ACCOUNT #
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7
,
~LAKESIDE AVE SE, 16176
361900
ADDRESS
OLD METER CURTIS. MARTIN
NEW METER
Ser. No. 31831 03
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ser.No.?7/8~)
Digits
Reg.No.
. L. -?
Size-5/${
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IC; '?t.I?i}O /
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Juiy Read 1 002400
MIU Ser. No. 1"'.J"1 c..t.j 3/57
- 0;
ReadinQ
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
''t Type
Ground Yes ~o_
Lead_ CopperLlron 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 Departmentduring
normal working hours. Thank you for your cooperation. /
INSTALLATION ACCEfYfABl:l!ATf) M~.SEA;~RE}'mCE
OCCUPANTS SIGNATURE dl ~t/6(~v
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DATE/:! - ;.- dC. PHONEY5-j.-</(/c-'-/.) Cj
From 90080 (4.93)
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Copy 1 Customer
Copy 2 WS
Copy3&4WD
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