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ACCOUNT #
12100 · . ~q (j)
< BASSWOOD CIRSW, 3540
ADDRESS
OLD METE~OHNSON, DANIEL & PAT~ METER'
Ser. No.
24245378
ser.~ 77 Od.1 t 1/
Reg.No.
~&'~,11'/ Size rig /0 ha (
: I 0 '
July Read: 459110 r -;'!J 'I .~ I
MIU Ser. No. '> ") "tf1v
Digits
./
Readin<:J
-. :/
MIU Phone#
.'.
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size"~~, / ''t
GrOUndYes.Xo_
Type
Lead_ coppe~lronPiPeL
Comments:
. _:\,
Please 'keep this receipt for your records. The fi~eading from your old water meter
will be,used in determining your next regular bill.
If you have any questions or problems, pleas~' contact the Water Department during
normat working hours. Thank you for your cooperation.
"
INSTALLATION ACCEPT~?R RM M.E !'TER SEALWIREIN PLACE.. _
OCCUPANTS SIGN~TURE / (vbv-~-4:~f~?;;Z~-----
DATE..J1J;;tJ-./tJ ~ PHONE '.. "
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3,& 4 WD
..
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