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600300
ACCOUNT #
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7
.)( 17507 RU~~JC H1tL CT
M;N'isTO, SHAWN ..
OLD METER NE~, ~:~~
'( ('.,W V"~ :\~
Ser. No.-34ea12965'~t;! O.i67ser. No. O!/J./ J17'1f1./332
Digits Reg.No.'
-
ReadinQ C?to~o J\, Size . -rt ~
July Read: ~oo
MIU Ser. No. tJn 0. ~ r; 7'0
.L- _
ADDRESS
MIU Phoned
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
;/
Service Size
Ground Yes ~o_
''t Type c
Lead_ copper-0on 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 ACCEPT. BLE. WATE ETErcSEAL WIRE IN PLACE.
OCCUPANTS'SIGNATURE . l~' 7~~
/,/2cr,/~3 PHON~)5-~;;o) ( - I L/'~
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
V&
DATE
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