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KASSEBAUM,MARK
OLD METER
NEW METER
>c", ':"'89968
Set: No.
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Ser. No. 77'3 <;.'67 D~
Digits
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July Read: k130
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Readinp
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
~'2
.
RPZ.lnstalled Yes _No_
RPZ Ser. ,No.
Type
fI
Service Size /
Ground Yes~o_
"If,
..~ Lead_OoPpet.XJronLPipe~ .
Comments:
please keep this receipt for your records. The final readfng from your old water '"'ter
~be useq ,In determ!f;lln,g your next regular bilt
If~u h~V8 any questl()ns' or problems. please contact the Water Department during
nOJmalworklng hours. Thank you for your cooperation.' . '
INSTAL, LATION A<;CE12B;^ 6~.r ~R!lEA..4 WIllE IN~E.
OCCUPANT'S SIGNATUR ..,. '<i,':-f\~
DATE ~-&-{)7, IpHONEtJ1R~r;8t+7,
Fr 1m 90080 (4-93) Copy 1 Cup~r Copy 2 WS Copy 3 & 4 WD
lit $J., ~~ Z:;~. 1.. ;
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