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ACCOUNT #
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~HQRE LANE NE, 14240
280700
ADDRESS
BJORLlN, PAUL
OLD METER
NEW METER
Sar. No.
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Ser, No. 77 -; 3 9< '-I-4-Cf
Digits . J Reg.No.
Reading I If 7 I q vr:-F Size t;/t I rt Go- (
JUly' Read: 138~790 .
MIU Ser. No. S-?- '25 -;). & ~
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MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
Ground Yes XNo-
. ''t Type
Lead_ coppe~iron Pipe_
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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,
INSTAUATION ACCEPTA~A1rR M9.?R SEAL ~IRE IN PLACE.
OCCUPANT'S SIGNATURE r dd I~ --"-
DATE ) -- J..~;'" ()~. PHONElIrSZ ~ 'I<lF-97 J7
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From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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