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ACCOUNT #
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3304700
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SHORE LANE NE, 14200
ADDRESS
OLD MEmlEMA, HEATHER & SCOllJEW METER
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Ser. No. IIl{st '
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Ser. No. J71.~ t.f <f'f
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July Read: 1022110 () 7" l-
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MIU Phone#
Bldg. Type:
Port 1
2
RPZlnstalled Yes No
RPZ Ser. No.
Service Size ''%
Ground Yes~o_
Type
lead_ copp~on 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~TAB E. ~AT~R M,E\TE~ SEAL WIRE IN PLACE.
OCCUPANTS SIGNATUR ~~\'~' \ \~ \\~ \ \ \ \\J~' \ \ \\
DATE .- J. 7 v () \~HONE 9fJd') it 1) l!;tl{ ')
Copy l Customer Copy 2 WS ' c:py 3 & 4 WD
From 900&1 (4-93)
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