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ADDRESS
7
Y ROSEWOOD RD NE, 14730
427200
~o~
ACCOUNT #
STARK ROBERT
OLD METER
NEW METER
66044i3 J
Ser. No. 5//lc;U.S
Reg.No.
; /
P
Ser. No.
Size
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No RPZ Ser. No.
Service Size '~ Type
Ground Yes LNO_ lead_ coppec.0~on 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.
OCCUPANT'S SIGNATURE
DATE ) I I ():::.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
0~ .' Ie
. PHONE 2 . Y tl\ l )') L G
/..:>.7
Copy 1 Customer Copy 2 WS
2-:2..L} <6./0
Copy3&4WD
From 90080 (4-93)