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ACCOUNT #
216800:" ()0 10
J( SPRING LAKE RD SW, 2786
ADDRESS
MONNENS, HAROLD
OLD METER NEW METER
/ /
27603360 V -
Ser. No. Ser. No. 77 (P.L 2 ~ ~5
<-
Digits //..-.------~:~ Reg.No, I
Reading ~ ~DI/- n '..() Size '7/ <J 'I
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July Read: :;4~
MIU Ser. No. ~2171<t
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
Ground Yes ~ No_
'~ Type
lead_ copperfc- 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 your cooperation.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANi1s JGNATURE C;)j ~- om gh..,.t.J> /YI A1
DATE ~ \~ \)1 0 PHONE
Fro:;pr (4.g3) \ Copy 1 Customer
Copy 2 WS
Copy3&4WD