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~ACCOUNT # () 0 ,\ (:; I ? t90
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ADDRESS ~ 095 170 th Sr :iW
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OLD METER
NEW METER
Ser. No.
~
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Ser. No. I 'I
Digits
Reg.No.
ReadinQ
Size
MIU Ser. No.
53 t;tlc/S-
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
I~ Type
Ground Yes
No_
Lead_ Copper_ Iron Pipe_
Comments: Ih, V- ~ .s~d /: 5(/ un c:s6t1/03
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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 contl;ict the Water Department during
normal working hours. Thank you for your cooperation.
I..NSTALLA. ~nON ACCEPTAi:7 \'IIATE~FR SEAL WIRE IN PLACE.
~UPANrS SIGNATURE I~ F ~
DATE d'r1"0 3 PHONE 'ft.J7- ~bJ 0
From 90080 (4-93) Copr1 Customer Copy 2 WS Copy 3 & 4 WD
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~CCOUNT #
J
ADDRESS
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261700
ry
V'. 170TH ST SW, 3695
BORCHARDT.GLENDORA .
OLD METER . NEW METER
.....
Ser~ No.
24425065
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Ser. No. . J If
Digits
ReadingJ7S-UO Y
July Read: 952240
MIU Ser. No. c:JC.J <. ~ J.j tJ 1./ '<
Reg.No.
Size
.s/s- //
/
,;
, ,-
t'
MIU Phone#
-Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size '~
Ground Yes ~NO_
Type
Lead_ copperLlron Pipe_
Comments:
J.51/ Uj ( ;;;6/,/1;'
I:(]f pm ~c1oIo3
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 ACCEPTA~. \\IATERMETER SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE (1J)-I1. ~ ~. .
I PHONE Y () 7 ... I) ,~ 0
Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
DATE ;j ~ ~ b - D )
From 90080 (4-93)
/01 d~
I), - 10