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ADDRESS
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v~RSYTHE RD SE, 15402
ACCOUNT #
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.,,' DAUFFENBACH, DANI~l
OLD METER NEW METER
'43982634 ,~'
Ser. No.
Ser. No 17 DL~\o."!1
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D,igits /---~.....v Reg.No.
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MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No RPZ Ser. No.
Serv'ice ~. ~ Type
Ground Yes ;S No_ lead_ copper,*- Iron Pipe_
Comments:
.
Please keep this receipt foryour 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.
INSTALLATION ACCE~E. ~ATERME~ER SEAL WIRE IN PLACE.
OCCUPANTS IG ATURE~~~ ~
DATE / PHONE 0\
;/o~ ~080 (4-93) COPY~
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