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ACCOUNT #
ADDRESS
X SHORE LANE NE, 14403
OLD METER RAWlSKY, JAMES C
NEW METER
, 370&30&5,i J
Ser. No. 552- --'" Ser. No._/7 L/ 8 '13~~
Digits
Reading 0?15PI'70/
MIU Ser. ~~~yRead: 836170'Qnc:;.4 ~ I 7 (.J'
Reg.No.
Size ~ y: 3/t; j f7
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
''t Type
lead_ copper--f( Iron Pipe_
Ground Yes ~ No_
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
normai wor~ng hours. Thank you for yo... coope~.,n
INSTALLATION ACCEPTABLE. ~,E ERR M, R SEA
OCCUPANT'S SIGNATURE J(J~
DATE ~. I -;.1-003 (j PHONE
Fj: ;; g-~d '1 Copy 1 Cust er Copy 2 WS
Copy3&4WD
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