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636800
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ACCOUNT #
ADDRESS \ )(WELLINGTON CT SE, 5134
OLD METE: \AlENTINE, MIKE NEW METER
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Ser. No.
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Ser. No.
Digits
Reg.No.
Reading O[!4 OfW 1; Size_
July Read: 79260 ~'1 Q-'1 fa
MIU Ser. No. -.)7.~ / -(I
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size '~
Ground Yes -.k No_
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 problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATION ACCEPTABl7 ?~R
OCCUPANTS SIGNATURE /7~~ ~
'1" 1./
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DATE ?:t-?ft ()3... PHONE'lj')... . ~ ~ s y cr C>
From 90080 4-93) ;..; Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
WIRE IN PLACE.
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