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CRJJ\~SON CT SEt 16896
CUMBEE, JEANIE . '1- )
NEW METER
Aj$COUNT #
ADDRESS
OLD METER
6S91125-
Ser. No. 5' t II (p (p 1-1 --., Ser. No.
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Digits
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Reg.No.
Size
MIUSer.No. (D,j03S"\
MIU Phone#
Bldg. Type:
\.
RPZ Instal,led Yes
;.-..
Port 1
,2
No
RPZ Ser. No.
Service Size
, ''t Type
Lead_ Copper ~ Iron Pipe_
Ground Yes, v" No_
Comments:
Please keep this receipt for your 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. ACCEPT.AB'f)J:.ER:::r~E IN PLACE
OCCUPANTS SIGNATUREJ -, -. k-~ Vf.A,
DATE-LI ~ ~ -- 0'2 , PHONE
From 90080 (4-9~) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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