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33110i \.(1c(\ (i) S?1
J( SHORE LANE NE, 14520 .
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ACCOUNT #
ADDRESS
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OLD METER
ANDREE, STEVE
NEW METER
1-7 0C;-'7r~'-'/./
T Jj'~-
July Read: 16531 SO' ,--- QQJ
MIUSer. No. f;:) ~ ~
tfOq] & 70'7
Se~No. -'48IH.k~
Digits
ReCldinp
MIU Phone#
Bldg. Type:
RPZ Installed Yes No
SerVice Size "~
Gro~nd Yes ~_
Comments:
/ -
Ser. No. 77tAr+/Qro
Reg.No.
Size ~/rz ( d baI
Port 1
2
RPZ Ser. No.
/
Type
lead_ copperXfron 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 ACCEPTABLE. WATER METER SEAL W RE IN PLACE.
OCCUPANTS SIGNATURE ~ ~ ---
DATE ~. - J (0-- 01, PHONE4.1./~-<?')."?
From 90080 (4-93) Copy 1 Clstomer co~ 2 WS Copy 3 & 4 WD
Ji'f-;ler-O') d-' fq "' 0 ?