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800200
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0( 17506 RUSTIC HILL CT
ACCOUNT #
ADDRESS
. WOLDSTI\D, DEAN
OLD METER
500 0 -So .:><;:;/
~Wl fI"J
Ser. No. Ser. No.
Digits
Readina 0 \ 3~ 6'50 J('
}
July Read: 121000
MIU Ser. No. {)(1 ~q5 o5~
...~. b,.
,.MIU Phone#
Bldg. Type:
RPZ Installed Yes No
Service Size ''%
" Ground Yes ~o_
Comments:
Reg.No.
Size
Port 1
RPZ Ser. No.
NEW METER
11/
(\J/
/A
2
Type
Lead_ copper,~n Pipe~
. Ir
Please keep this receipt for your records. The final reading'from yo\r 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 ACCEPTA'E. WATER ~TE~ SE,~~ ~I~E)N PLACE.
OCCUPANTS SIGNATURE /J:JIJ /(\-f\ /If/j ~hWL
DATE j/ S;'- 0; PHONE t1?Z -ZZ&'-t~'-I5""
From 900~O (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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I 'Y 101 - a
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