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681200
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ACCOUNT #
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X DEERFlELD LN SE. 5207
ADDRESS
KOHLHOF, WILLIAM
OLD METER
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Ser. No. Ser. No.
NEW METER
Digits Reg.No.
Reading OD5 '1 ,;) ~ 3.0 X Size
July Read: 214'00 ... ./
MIU Ser. No.. ()Q 54"3 1 t'1
.
IV:
/A
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Ves No
RPZ Ser. No.
Service Size / ''t
Ground vesL No_
Type /'
Lead_ Copper ~n Pipe_
Comments:
Please keep this receipt for yourrecords. The final reading from your old water meter
will be used in determining your next regular bill.
If you have any questions or probl~ms,pteasecontact the Water Department during
normal working hours. Thah'kyou for your cooperation.
INSTALLATION ACCEPTABLE. WATER ~ETERSEAL W.IRE IN PLACE.
OCCUPANTS SIGNATURE /; J;I( ~
DATE / / .r 1- --;'.r D::z.... v PHON~
From 90080 (4-93)
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Copy 1 Customer
Copy 2 WS
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