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ADDRESS
360500 J:\01 (!j)
~ SHORE LANE NE, 14521
----,
ACCOUNT #
OLD METER
lEWIS, MARY
NEW METER
/
77'1 ~ l./ 338
43SS3799
Sar. No. --118~'14.
Ser. No.
Digits
Readi~~n/
JUly'Read:- ieJ370
. MJU Ser. No. O0!5"1' ! I 7
Reg.No.
Size ~f)( y:y~ 10
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No RPZ Ser. No.
Service Size ''t Type
Ground Yes ~ No_ lead_ CopperA Iron Pipe_
Comments:
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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 ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE -j"" ~ 7Z.......
DATE 'J. -J - .loo 3
From 90080 (4-93)
1-;z1-03
Copy 1 CU$tomer
PHONE
Copy 2 WS
Copy 3 & 4 WD