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316300
AC,COUNT #
ADDRESS
X ISLAND VIEW RD NW, 15673
OLD METER HENDRICKSON, DON NEW-METER
/fDtf1)/9 0~
Ser, No, 1ttt0lf II.
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Ser. No, 71l.-) 'l> II CS2 -,
Reg.No. I
Size.' ~/5 ~
Digits
~eadiJl,,(J~"- ',)l;~D;l>Dn\ X
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MIU Ser, ~~.IY ~ead' 1-951060 ~ L} 9 CJ b 5
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MIU Phone#
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Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
'~ Type
Lead_ Copper !J:" Pi~_
Ground Yes r N~_
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.
INSTALLATIOi ACCEPTABtl,ER, MEJ,,7~!JSR, ,6~I~,EAffE, PLACE.
OCCUPANTS SGNATURE '.~P(/~
DATE ~"h.' O~ ' PHONE
From 90080 ('.'3/ Copy 2 WS
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Copy 1 custo~,
J/ I:)
Copy 3 & 4 WD
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