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209100
ACCOUNT #
J(SHADY BCH TR NE, 14488
RIxMANN, BRAD
OLD METER
)3'6t+~72 r. I _
c9UID28' V
Ser. No.
ADDRESS
NEW METER
7
Ser. No.
P--.
Digits Reg.No.
Reading (JJ'fI7 ,~X Size t:,/cL1 ,10&1,,:,(
July Read: srITooo {"., J ,(/ l1A7 C,
MIU Ser. No. ~ d- ') -" D )
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Ves No
RPZ Ser. No.
Service Size .~
Ground vesR No_
Type
Lead_ Copper~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 ragular bill.
If you have any quastions or problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATION ACCE.P. TABL~WA1E~.M,EJ7L WIRE IN PLACE.
OCCUPANTS SIGNATUAEL) ) UL.{{j~~n%< /)"_
DATEd "J 0 ., 0, \ PHONE';})O -o~({Ja
From90080 (4-93) c?opy 1 Cuslomer ' Copy 2 W8' Copy 3 & 4 WD
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