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ACCOUNT #
10
hROOKSIDE LN NW. 15564
619800-"
NEW METER
Ser. No. J
Reg.No....lll J
Si;--:":~=( '/-"
Digits
Readin~ '-1'5 ~ 00 ~
July Read: 30210
MIU Ser. No. 5" 2 cr ~z s
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
Ground Yes + No_
'~ Type
Lead_ Copper~ 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 ACCEPT~.BlE. W..G .~. ~ ./E.R SE. ALWIRE IN PLACE.
OCCUPANTf SIc1NATURE . A'y~ /t:." ~
DATE 1- 4][5" PHONi~) ?--b-4.~~Z-
t.f~\ 90080 (4- J3) Copy ~~si;er Copy 2 WS
Copy 3 & 4WD
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