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. 501600 ~"\Y-1L\j Ie;
ACCOUNT #
J(HUMMINGBIRD TR NE, 4535
HANSEN, BRIAN
5G{t;/37 j
Ser. No. .12174910
ADDRESS
NEW METER
Ser. No.
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Digits Reg.No. <;F/V..S"uS ?Y
Reading {J Y'7 -:2 70 J\ Size ~. 5''f5. ,r11ili/itl1.-
July Read: 300 51 '1 . /CA:J~ I
MIU Ser. No. .5Y ~ g c..~
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size ''t
Ground Yes X No_
Type
Lead_ copperf Iron Pipe_
Comments:
<i- 10
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 ACCEPTtwz_,~ ~..I ~~,IRE IN P .
OCCUPANTS SIGNATURE . \ "\ .' ,. ...-:
DATE ?-~3o~ PHONE )\'-/O~~
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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