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ADDRESS
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J(PIXIE POINT CIR SE, 14960
31070b!
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ACCOUNT #
OLD METER
NELSON, JERRY
NEW METER
Ser. No.
j 7711dlroft
Ser. No. y..- () '--t-
, .
Digits \/Reg No
Reading ~'JO:Jff 'iff'"", SiZ~ . VJ, I~ (;a(
July Read: 1122660 . I I. "'7
MIU Ser. No. f:2 c; -r ~ (1'..
4- 310~,-g I
1125987---'
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MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No RPZ Ser. No.
Service Size ''t Type
Ground Yes ~o_ Lead_ Copper_~n 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~ATER METER SEAL WIRE.IN PLACE.
OCCUPANTS SIGNATURE U.~:&-. '1Jf~
DATE:;; -p. 0 - 01 - PHONE 0<) 7_ - f../1.17- j'<,(,j 3
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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