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ACCOUNT # '
~ QUAKER TR NE, 4290
ADDRESS_
PETERSON, DENNIS W
OLD METER j NEW"METER
. ,~
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Ser. No.
Digits
Re~dina .(P~JM$'
" July R~ . ....
MIU'Ser. No.
Reg.No. .
'Size i'i/ t I tJ DqJ-
S-302-~~
MIU Phone#
Bldg. Type:
Port 1
2
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.RPZ InstalleQ. Yes _ No _
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Service Size
Ground V:s ~ No_
RPZSer. No.
''if Type
Lead~ copp~. Iron Pipe~ I
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Please keep this receipt for your records. The final reading fr om your old water (TIe sr
will be used in determining your next regular bill. ~ J J
If you have any questions or problems, please contact the w~er De.ppartmen~ duri
normal working hours. Thank you for your operation. "<
OCCUPANT'S SIGNATUR
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DATE
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PHONE lfif7- ']t!,/ U)
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From 90080 (4-93)
Copy 1 Customer
1t-$7