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ACCOUNT #
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)<fIVE HAWKS AVE SE, 16573
ADDRESS
WALDEN, SHEILA
OLD METER
NEW METER
Ser. No.
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Ser.No. 770CJcr~ S)
Reg.No.
Readinq r.e0 7 (p t/f0( sizeY jJ ! 0 Ga (
July Re.d:~100 . ~, rJ \
MIU Ser. No. c;4- ') ;L 0
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~q ftt1 ~q Ol ~
471249
Digits
MIU Phone#
Bldg, Type:_
Port 1
2
RPZlnstalled Yes
No
RPZ Ser. No.
I'-
Service Size
Ground YeS~NO_
''ff Type
Lead_ coppe~ron. Pipe_
Comments:
Please keep this receipt for your records. The final rE'lading 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 cooperatio,n.
INSTALLATI"ON ACC, E, P,TAB,LL,EE,I' 'jATE,~ ~,ER !,~LIW,..IIRRr ~IN f1AJl
OCCUPANTS SIGNATURE ~.pr fLr J/.WaJ/d ,
DATE ' "P.. - 5- O;;;.c,' . ~HONE{~{5'~)d'd L, - ~ '-/)
From lii /10 1 Copy 1 Customer Copy 2 WS Copy 3 & 4 WD