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ACCOUNT #
~ SHADY BCH TRNE, 14220
ADDRESS
OLD METER NYSTROM, BRETT
NEW METER
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Ser. No..t42JIJ Ser. No. 77 '+8'4-0 ,t.f
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't./ ,Reg.No.
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July Read: 1371390 r....., rq....7 2-
MIU Ser. No. ) oL)
Digits
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MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
Ground Yes ~ No_
''t Type
lead_ Copper K Iron Pipe_
I
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 YElur cooperation.
INSTAllATION ACCEPTABLf WATER METE~ SE~l WIRE, IN PLACE.
OCCUPAN:S SIGNATURE~~~\\~:1L\.I'- .. . '
DATE:2 {q / O? '. PHONE; >(S~1CP ()-)v.:.()
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Copy 1 Customer
Copy 2 ws
Copy3&4WD
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