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ACCOUNT #
637600 / If ({ / S
. / '
-><SHADY COVE POINT Nw, 3122
ADDRESS
OLD METER PEARSON, SCOTT
5 C C1? 3 S 1 L
Ser. No.1"3177.'J3~
NEW7ER
Ser.No. 509<63:5~~
Digits \1 Reg.No. .
Readino () r )~,r G 0 / . Size. SwQ-\~ ,%,y J? !/.M(,..
July Read: 76000 <""' .... /
MIU Ser. No..0 ) \- ') )
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No RPZ Ser. No.
S~~~S~ ~ ~~
Ground Yes ~, No_ Lead_ Copper_ Iron 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 ACCEPTA~E. WATER ~R SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE )"-,,-......~ () 'l,^-"
. - ~.-----
DATE )-/DID
PHONE
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD
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