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" 211400 ,.
ID
ACCOUNT #
0<'SKYLlNE AVE NW, 15582
ADDRESS
O D E RUSTAD, RICHARD
L M TER
NEW METER
'Ser. No~8~08717
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Ser. No. 77L}~1-} CS2. L.{
Digits
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MIU Ser. No.
x
Reg.No.
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Size
str! 1 CJ7 (
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
'~ Type
Ground Yes '1 No_
Lead_ coppery. Iron 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~our c peration.
INSTALLATION ACCEPTABLE. ER METER S
OCCUPAtoIT'<lfS~ATURE (~ I -
DATE ~ I, 7 PHONE
from 90080 t4.9f3) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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