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111200 f:J"\ (
/GRAINWOOD TR NE, 4030
ACCOUNT #
ADDRESS
BONGARD. MIKE
OLD METER
NEW METER
26207777/
Ser. No.
Ser. No.
~) 18Co 11-"1-
Digits
Readin!l D Cf lJ ';I. .k> ,e /
July Read. 72320
MIU Ser. No. OOSJ?~~ ,
Reg.No.
Size
Y/3 ('
MIUPhone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size ''t
Ground Yes .60_
Type
Lead_ copper~ron Pipe_
Comments:
Please keep this receipt for your records. The final reading from your old water meter
will be used indetermiriing 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.
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OCCUPANTS SIGNATURE_ LI.~I;M'7 ,..;,')
DATE / 1-- PHON~
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD
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