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687100
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ACCOUNT #
. ~ JEFFERS PASS tINV,15304
ADDRESS
MAHANEY, MURL & KATHY .
OLD METER NEW METER
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Ser. No. ' Ser, No. / / /
Digits Reg.No! / /i
R..din~~1cll>5f:XC Size '"Iv / r:
July Read: /
MIU Ser. NO.C; t q '":=/1 Z- ·
MIU Phone#
Bldg,Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
GrOUnd~NO~
'~
Type
Lead_ COPP? Iron 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, ACCE~~R METER SEAL WIRE IN PLACE.
OCCUPANT~ SIc.:JNATU~j V'J ' ( \ _ __ ~--
DATE 11'-7 f) f)?J ~HONE
, I ~ '
From 90080 (413)
1/;0
Copy 1 Customer
Copy 2 WS
Copy3&4WD
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