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474100
.7
ACCOUNT #
ADDRESS
J(
EMBASSY CIR NE, 4576
OLD METER
HUWE, DONALD
NEW METER
/'
Ser. No. 913 r.u 538'iJ~70J.ser. No.
J( Reg.No.
. Ie.. fI:f 1]0 ,Size
July Read: 137510
MIU Ser. No. N'1~~"~ f"] r)
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if
fA
Digits
Reading
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size ''if
Ground Yes~_
Type I
Lead_ copper~n 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. WATERMETER SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE (j)../J /? ../----'
l."
DATE .:J -/5 . c:r/
, . --1
PHONI;'y~J.c /, (I" _ /l 9-1 /
.. .. J
Copy 2 WS Copy 3 & 4 WD
From 90080 (4-93) Copy 1 Customer
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1
1