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676600
, ACCOUNT #
AQORESS
)( LAKE BLUFF CIR NW, 3212
OLD ME~ROROOl{ COMS"ff\UO'fC:JcW METER
Ser: No.
76483948 J(
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Ser. N~'
Digits Reg.No.
Readingt..fi.r 77 IS v( Size V/~ / () Gq/
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July Read: r~{) La
MIU Ser. No. )" ,- ( ) ,
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No RPZ Ser. No.
Service Size ''t Type
Ground Yes xNo~ Lead_ Copper~ Iron Pipe_
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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.
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PHONE 4t..ftJ - ) tJ:;' z
OCCUPANTS SIGNATURE
DATE d.- --/4' --' ()/fl
From 90080 (4-9:l)
Copy 3 & 4 WD
Copy 1 Customer
Copy 2 WS
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