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ACCOUNT #
ADDRESS
X'
TIMBER TR SE, 5900
OLD METER
MARTINI, SCOTT
NEW METER
it
Ser. No.
/
1~'1!1.~ iSLJ;' 2,2 Ser. No. 7~1 <6L{, 1 (.
Reg.No. ,
Size 5/ ~ I'
Digits _'----.._
'.,o"- '.' "
R~d;~'~J;I ~ L/) SO' J</
"-_...:~~ly~ead:14t0230
MIU Ser. No. 5~~/2.7
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
'~ Type
Lead_ copper~ Iron Pipe_
Ground Yes r:.- 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.
OCCUPANTS S GN.f.TURE
INSTALLATION ACCEPTAB
DATE 17_.
.
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copy 1 Customer
Copy 2 WS
Copy3&4WD
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