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413~
, ~ 487100
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ACCOUNT #
X BLUEBIRD TR NE, 14066
ADDRESS
WleKs,>::IIt:Vt:
OLD METER
NEW METER
vi
9214417~
Ser. No. 5:3%~oO~
Sar.No. J )1,1
Reg.No.~
Size
Digits
Reading J;tlfft.~~'/
2,49Cj.~ 7
MIU Ser. No.
-, , .
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
RPZ Ser. No.
No
Service Size
Ground Yes ~ No_
''t Type
Lead_ copp~ 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 ACC.EPTABLE~E~M9E0AJ ~I~~PLACE
OCCUPAtff'~ SI~ATURE J~.. C/U'
DATE 1./1-4 0 ~ PHONE.
From 90080 rrl93) . J - Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
I-~ J...-11
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