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628100
ACCOUNT #
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~V NIGHTINGALE CIR NE. 14491
ADDRESS - \
OLD METER" GILBERT DAN & SUSANNEW METER
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Ser. No. -1'189358<; '7 < ~ 9~eder. No.
Digits
Reg.No.
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July Read 27972fJ
MIU Ser. No. cr, ",!.2. ? 1f'
Size
Reading
MIU Phone#
,
. Bldg. Type:
Port 1
RPZ Installed Yes No RPZ Ser. No.
1M
2
Service Size ''% Type
Ground Yes -L"'No_ Lead_ copperdon 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 S~AL WIRE IN PLACE.
OCCUPANTS SIGNATURE ~/{(LlN{ I. ,LJ, (w .tf---
DATE_ 2/1I/()2, PHONE Cisi-<-I91,-..l'"L7d 5
From 90080 (4-93) I Copy' 1 Customer Copy 2 WS Copy 3 & 4 WD
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