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ACCOUNT #
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JCANDLEWOOD LN NE, 14195
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272900
ADDRESS
OLD METER
GORNY, GERALD
NEW METER
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Ser. No. ~i'949573
Ser. No.
Digits
Reg.No.
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July Read: 1563330 1-- ~ O'~ 5- l r cr
MIU Ser. No. ) (7' () f
Reading
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size '~
Ground vesX No_
Type
Lead_ Coppe~ron 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 SIGNATURE (. '" ~\/I yo-^--i
DATE J - ;);J .. 0 ') ,-- , - PHO~E t.ftf., -- q7j 7
From 90080 (4-93)
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Copy 1 Customer
Copy 2 WS
Copy3&4WD