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ACCOUNT #
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HIGHWAY 13 SE, 16840
ADDRESS_
FAITH EVANGELICAL CHURCH .
OLD METER NEW METER
Q;)5'fJq 77
-2t89- .
Ser. No.
J
Ser. No.~ I ))fi;Zq f-
Digits ~/ Reg.No.
Readir1(J Jil;~r:t:l S-~~ ~?g Size VrJ / If Go, ,
July Read: 499000
MIU Ser. No. 5" ~rJO) I
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size I,>>
Ground YeSXNO_
Type
Lead_ copper~lron Pipe_
Comments:
Please keep this receipt for your records. The final reading from your old water meter
will be lJsed 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 ACCEPT4. LE WATER M..F:JER?A':}'LY. E IN PLACE.
OCCUPANTS SIGNATURE .. 11IfA'f../!/
DATE d.. - fi - 03 PHONE dto r ~ 7:2~
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD
"'.1/1
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