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448300
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ACCOUNT #
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ADDRESS
~ WILDERNESS TR SE, 16993
BRODERICK, DAN
Ser. No.
OLD METER
52012995 vf
NEW METER
Ser. No.
Digits Reg.No.
ReadingO~ ::1J7..CcO ~ Size
July Read: 5 7100
MIU Ser. No. 06 54 35~ V,
MIU Phone#
Bldg. Type:
Port 1
2
RPZ.lnstalled Yes _ No_
RPZ Ser. No.
Service Size
Ground Yes ~_
''If
Type
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.
OCCUPANrs SIGNATUR
D:'E-.(~U~'5) ~O:~m"
11/ a.1
PHONE
Copy 2 WS
Copy3&4WD