HomeMy WebLinkAboutWater Meter
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)\HAMPTON ST NE, 5298
JASZCZAK, DAN
OLD METER J NEW METER
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ACCOUNT #
ADDRESS
Ser. No.
Digits
q I fo~1 X .
) '- .
July Read: 51870 -:; t1
MIU Ser. No. ~ "6
Readina
MIU Phone#
Bldg. Type:
RPZ Installed Yes No
Service Size . ''%
Ground Yes XNO_
Comments:
&40300
Ser. No.
Reg.No.
Size rl ~ rOo 0 6 t.t l
Sc.fCo
Port 1
2
RPZ Ser. No.
Type
Lead_ coppe~lron Pipe_
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 ACCEPTA~A~~ETE""SEAL ,WIRE IN PLACE.
OCCUPANTS SIGNATURE/~tt>;~/;,: L..../,
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DATE 1- J) -() ') PHOpq( /jt/'?-
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From 90080 (4-93)
Copy 1 Customer
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Copy 2 WS
Copy3&4WD
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