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116200
(b)"
ACCOUNT #
ADDRESS
OLD ME,*~ECHER, DAVE & LORI
XGRAYLING CIR NE, 14170
.. Ser. N~5034381
NEW METER'
/
Ser. No. 771 g' J( '] 'I ~
Digits Reg.No.
Readina t-.-b ~ i'" J 0 ~ Size ~ ')l. s)Y f (:)
July Read: 1~10 'Q J f..{.. \
MIU Ser. No. S" J c., '0 ~ c_
MIU Phone#
Bldg. Type:
..-/"
RPZ Installed Yes
Port 1
2
No
RPZ Ser. No.
SerVice Size
Ground Yes ~NO_
''t Type
Lead_ coppe~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 ACCEPTABLE. WATER METER SEAL WI~LACE.
OCCUPANTS SIGNATURE Ai/1;-; .1.( 41:f3-e~R /. c. L-/
DATE ~ I tK',/ t>_ ~ '--/ /~~HO~ -
From 90080 (4-93)
J ' i ... 0'")
Copy 1 Customer
Copy 2 WS
Copy3&4WD