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. FAIRLAWN SHORES TR SE, 5620
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. ACCOUNT #
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I ADDRESS
BROCKENBROUGH,L1SA
OLD METER
NEW METER
10.-:'
. Ser. No~111108 fLf5;o 1-bl.oO
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Ser. NO.~ -Z1
Reg.No.
s! ':II
Size . 4.. x
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Digits i
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Reading'> J ~q 1>5.0'1 () ./
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July Read.: .101\g1.S'30
MIU Ser. No. ~~L.-f l4
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~U
MIU Phone#
Bldg. Type:_
Port 1
RPZ Installed Yes _ No -
RPZ Ser. No.
Service Size_
Ground Yes +- No_
. '~ Type
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,2
lead_ Copper~ Iron 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 ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS S GNATURE ~
DATE~ $- 1)'1. PHoNE
From 90080 (4-13). Copy 1 Customer Copy 2WS Copy 3 &4 WD
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