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~EAU CLAIRETR ,NE, 4018
ADORESS
GILBERT, ROBERT L
OLD METER. NEW METER
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Ser.No. 7'7/1&;3,76
121915
Ser. No.
Digits
Reg.No.
Readino JI(j~~';u9 ../ Size
July Read: 1149930
MIUSer.No. ~)53CI<9'1
MIU Phone#
0~~
Port 1
.2
Bldg. Type:
RPZ Installed Yes _ No -
RPZ Ser. No.
Service Size
Ground Yes LNo_
. ''t Type
Lead_ CopperVlron Pipe_
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 ACCEPTABL~..r.~E.... M%VR SE W.I . IN PLACE.
OCCUPANT'S SIGNATURE !. -7 6 "
. -\ -,' -
DATE 1/ ,-.j 1-0 L .. ,PHONE
From 90080 (4-93)
Copy 1 Customer
CopY.. 2 WS
Copy3&4WD
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9-10