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ACCOUNT #
XLAKE BLUFF CIR NW, 3228
NEW METER
Ser. No. s.,J t-
::::ina () <;1 y <1>3 OY::s~~~/l '1 Nt IC06~
July Read 363!S40 ..' SfN!7'^>
MIU Ser. No. 5 >~Ci J
MlU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
~N~S~ ~
Ground vesA. 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 ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANT'S'SIGNATURE--~~ '1T~t j )J.'~~ lo...LL..
DATE
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Copy 1 Customer
PHONE
Copy 2 WS
From 90080 (4-93)
Copy3&4WD
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