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AtcoUNT#
290600
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ADDRESS
J( SHORE LANE NE, 14330
"'OiOMETER REZAC, PAUL
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Ser. No.~"9 Ser. No.
NEW METER
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Digits
. Reg.No.
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Reading
July Read: 29450
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes _ No _
RPZ Ser. No.
Service Size
Ground Ye~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.
INSTA"L~T,ION AC C EPTABLiJ,.' ~ATER METE~ S~"" W, IRE IN PLACE.
OCCUPANTS SIGNATURE " JA/1Ld/L'X;:' ~.>
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DATE 1.... '3 - 0 1 ,PHONE'f1V ... ~ (J R
From 90080 (4-93) Copy 1 Customer', , Copy 2 WS Copy 3 & 4 WD
f-)fb-03
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