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.' 214100 ..."'~
X SPRING LAKE RD SW, 2530
Reg.No.
Size r;-Ie/ a (;{J I
,
c: 70 (pcf-~
r
ACCOUNT #,
ADDRESS
MADSEN, LOUIS
OLD METER
Ser. No~784834 7
:::;no J!;t~~-
,
July Read: 548100
MIU Ser. No.
MIU Phone#
Bldg. Type:
RPZ Installed Yes No
Service Size ''t
Ground Yes ~o___
Comments:
Ser. No.
NEW METER
/
77c.t~Rq
. .. . v ~
Port 1
2
RPZ Ser. No.
Type
Lead_ Copper.KTron 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 WIRE IN PLACE.
OCCUPANTS SIGNATURE~ ~.~ .. -"
DATE 1--/7 - 0') PHONE;1'5FJ -lfJIS,.O 9~
From 90080 (4.93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD