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321100
ACCOUNT #
ADDRESS
J( TtMBERGLADE CIR NE, 14936
OLD METER
GREEN, FORREST NEW METER
Ser. No.
~055110
..,/
Ser. No. ?7/gcs ,,r
Digits
Reg.No.
J 1/
Size_ ~/(
I
Reading
~9)fJO /
July Read: 85i/6450 ~
MJU Ser. No. /')AC, ~ J LJ 7
MIU Ph,one#
Bldg. Type:
Port 1
2
RPZ Installed Yes No RPZ Ser. No.
Service Size '~ Type
Ground Yes ~_ lead_ copper~n 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.
INSTAllATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE ~&u1-~ /
DATE /.;l-/3-LJ2.... PHONE~- If'41tJ -7~9eZ.
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD
1).-11
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1