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ACCOUNT #
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ADDRESS ~ SHORE TR NE, 5270
OLD METERCARlSON, NICHOLS
)~3~70'3 )5
Ser. No.J ~1 H9-i
NEW METER
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77)gg]rS-
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Ser. No.
Digits . Reg.No.
Reading t,(.O} {f:)-/~ J( Size);! /rJG C{ \
July Reacl: 389690
MIU Ser. No. r -;) R7? cJ
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MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
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7
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Service Size
Ground Ye~o_
''t Type
lead_ coppe& 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 pJOblems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATION ASGEPTABlE}1ATE~ MEIER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE / / ! ~ ~ --
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DATE2 ./ e;- - 07 PHONE!i:!i6 ". f!fJ 7
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
. 1-;1.1-03
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