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ACCOUNT #
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)( FREMONT AVE NW, 15784
40:\310 1 ) Z-
. ""111393.2
Ser. No.
J
Ser. No.:J 7 '-tb t..J () ~
Djgit~r / . Reg.No. I
//1 "7 Ie" . )\ '\, .c:. L
Readiqb . i~""~ )7 .oD / Size J,B. i
July Read: 1207440
MIU Ser. No. c:; :2.1 r 07-
\
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
Ground Yes lS- No_
. '~ Type
lead_ copperT 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, plel,ise contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATION ACCEPTAe'1-E. WATER METER SEAL WIRE IN PLACE.
OCCUPANT'S SIGr~ATuRv<ftA..~iL!J U()t--..
DATE '}, ,~01, . PHONE
1.t'~ (4""1 Copy 1 c~ "!l Copy 2 WS Copy 3 & 4 WD
1