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ACCOUNT #
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V(LAKE BLUFF CIR NW, 3204
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633600
ADDRESS
Ser. No.
OLD ME~K\^JELL. SCOTT & CHAN~ METER
511 \ ?-IL/ I ./
13859555
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Ser. No.
Digits
. ~eg.No.
'^ Size <;;
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Reading 0 ~-Hf2 (:)
JUly KeaCl '19300.) .- ''/ l. r-{
MIU Ser. No; 5> --' I ,.~/ ) I
MIU Phone#
BJdg. Type:
Port 1
2
RPZ Installed Yes No RPZ Ser. No.
SerVice Size '~ Type
Ground Yes ~NO_ Lead_ copperA Iron Pipe_
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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.
OCCUPANTS SIGNATURE
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DATE
L,I-i-,JJ
PHONE
Copy 2 WS
Copy3&4WD
From 90080 (4-93)
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Copy 1 Customer
1