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ACCOUNT #
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'19100
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OLD METER
< v\' DEERFIELD DR SE, 17273
SANG, KIM
NEW METER
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ADDRESS
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Ser. No.
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Ser. No.
Size
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::~()O t5S 95 3 ..x
- .' .I." C7
July Read: 1280
MIU Ser. No. GC:>.$"~ ~ Y ( 0
Reg.No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes _ No _
RPZ Ser. No.
Service Size
r~ Type
Lead-,- CopperV' Iron Pipe_
GroundYes V 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 holJrs. Thank you for your cooperation.
INSTALLATIO. N ACCEPTABj'E'''t,TE? ~E~~o/r, IN PLACE
OCCUPANTS SIGNATURE(\ A It&:.) _Y-r1!. "
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DATE
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PHQN~
From 90080 (4-93)
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Copy 1 Customer
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Copy3&4WD
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