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620400
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BLUEBIRDTR NE, 14345
ACCOUNT #
ADDRESS
CROOKS, JOHN R
OLD METER
NEW METER
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Ser. No. '5?Q;)" ~573 Ser. No.
Re~ding. ~L60.t1
July Read~ -
MIU Ser. No.-.O.{)c;3~:l.7
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Size
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Digits Reg.No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No RPZ Ser. No.
Service Size ''t Type
Ground Yes -00_ Lead_ CopperL Iron Pipe_
Comments:
Please keep this receipt for your records. The final reading from your oldwater 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 ACCEPTAB~E.,,^TER METER ~EAL WIRE IN. PLACE.
OCCUPANTS SIGNATURE ''1\ fif1LV\A-. 0 L~1 (l1;rv\v'
~~' \ _ v
DATE ,i ~ I~- 03 PHONE .. 2 ~'5 L)- D.~ (j
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD
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