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ACCOUNT #
ADDRESS
J(' SHORE LANE NE, 14333
OLD METER
FRI:: I I Y, DAVID
NEW METER
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Ser. No. -; /5 )? 8~
Reg.No.
17~s:;et5 -hze 57? /0 6 ~(
July Read: 359470 . "'? r:O.7 7 ,
MIU Ser. No. ) ) c. )
Ser. No.
1.f-~44 s <lit-I'
131131
Digits
Readina
,
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No RPZ Ser. No.
Service Size '~ Type
Ground YeXNO_ Lead_ Copp~n Pipe_
Comments:
Please keep this receipt for your records. The fiRal reading from your pld 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 SE~WIRE IN PLACE.
OCCUPANT'SS. IGNATURE~/-Z --,f{/
DATE 2 -11"tJ S PHONE' 'ftf,- 9r lfU
From 90080 (4-93} Copy 1 Customer Copy 2 WS Copy 3 (,4 WD
1-:7g-03