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v\CHESTNUT LANE NE, 4389
438200
ACCOUNT #
ADDRESS
FUNK, TOBY
OLD METER
./
seN~~Z3 < ( 6?9.JS,5
Digits
Readina ?~c;,9.so ~
July Read: 278000 I
MIU Ser. No. C/V~ ?L/::zqtJ
. .
MIU Phone#
Bldg. Type:
RPZ Installed Yes No
Service Size "~
Ground Yes..6~
Comments:
NEW METER
Ser. No. I /
RegoNOo_Vj1,
Size I
Port 1
2
RPZ Ser. No.
Type
lead_ copper~on Pipe~
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 ACCEPTAmA~Ef)MET'i~Al W~RE IN PLACE.
OCCUPANTS SIGNATURE "100y C- -/.8,/
DATE :;. - 1- 5' - ():3 PHONE '1<\')_ LJL/7 - J'2 S"l.. ..
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
)~-?'6 1- 30
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