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, 148800
ACCOUNT # 7
V LORDS S1 NE, 4579
ADDRESS ,~
BRINKMAN. DOUGLAS
OLD METER ' NEW METER
Ser. No.
28383009
V
Ser. No. 7'7 J~ ~5t5
Digits
Readina //"'?).S17 ~
July Read: 73700
MIU Ser. No. 011 ~ 1./3- 39/
Reg.No.
Size
~J~.I/
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
'~ Type
Lead_ copper~n Pipe_
Ground Yes ~ No~
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 ~CCEPTAB.L Lrr J"ATE.'.R R 1ft _r/.j. SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE-L' ~ (
DATE ' It /2 Jill. .'/ PHONE~ - ~K r 7
From 90080 (4'93{ ( Copy 1 Customer Copy 2 WS Copy 3 ~ 4 WD
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