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10 'j(/ --1J:'k/ 28880~' #,/;-;\
ACCOUNT # L2f/
XCEDARWOOD ST NE, 5610
,
ADDRESS
"
OLD METER
DODGE, MIKE
NEW METER
J
7 77g~'f~-3
;;?Zk4&503
set. No.
Ser. No.
Digits
Reading \ 7 9J~,t '1f/'/ Size ~-/ ~ I 11 6", (
July Read. 1701360 r...., C/ -z / 7
MIU Ser. No. 7 t?' D ) lp
Reg.No.
. MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size ''if
Gro~nd Yes ~o_
. Type
lead_ copper,...;.-~n 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.JlfT~YJTZ~ ~fiAl WIRE IN PLACE.
OCCUPANT'S SIGNATURE / f\.,/ (/'1'[1 .
DATE ) ".. ;2..4< -01
. . ,
From 90080 (4-93) Copy 1 Customer
1-1~-O3 -
PHONE~ - /0) 7
Copy 2 WS Copy 3 & 4 WD