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629100'
ACCOUNT #
ADDRESS
X BROOKSIDE LN NW, 15556
Ser. No.
OLD METER JOHNSEN; CYNTHIA NEW METER
<515:>~4L.7y'-=
"'41514217
Ser. No.
Digits Reg.No.
Re~n97'~1 000--'::) Size
I \
Ju~Read:40770 _
MIU Ser. No. - .e:)?Lf <:: I 0
jJ/ A
/~'(-If
MIU Phone#
Bldg. Type:_
Port 1
2
RPZ Installed Yes
No RPZSe~N~
Service Size
''% Type
Ground Yes 1- No_
lead_ Coppe~ 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 ACCEPTABLE. W~J" I VlfTER SEAL WIRE IN PLACE.
OCCUPANT'S SltNATURO? 1//11 /1 ,,\ " ~
./ I -J,--
DATE '2.. \ t, nl:J ,/ PHONE
Fr 1m 90080 (4.9\ J, - Copy 1 Customer Copy 2 WS
1.-"
Copy3&4WD
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