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620900 1.\~\O
ACCOUNT #
iJ
J BLUEBIRD TR NE,14696
ADDRESS
HELLMAN, THAD
OLD METER
NEW METER
Ser. No.
1"J:!J.'4f7C;'70~1h~{ Ser. No.
- Reg.No.-1/.1
.1$ tW)( Size YTr
juiy Read 107230
d'1<"~~C/)
Digits
Readina
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No RPZ Ser. No.
Service Size ''% Type
Ground Yes ~o_ Lead_ Copper~ Iron Pipe-,--
Comments:
Please keep this receipt for your records. The final reading from your old waterlfleter
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 ACCEPTA~~. WATE? ~.;fR/77AL WIRE IN PLACE.
OCCUPANTS S GNATURE >'~I1'f ;I /v /} .-'
DATE_ i 11 . 01 PHO~E .J t. ~.-' ~ '. if.,
From 9008~-93): Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
\ - 11 ;)- J7f
,,-,