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ACCOUNT #
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ADDRESS
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RUSTIC RD SE, 6701 \
OlD METER
MARSCHALLBAR~ METER....
-5 caq /p .5, ~<: 970 V'"
Ser. No. . ~ . Ser. No.
...
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Digits Reg.No. . /{9"
Readi"9' /), '\ \ jl () oX Size 1 /
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July Read: 78000 ;5 ?/_/. ""2- .6"
MIU Ser. No. .:> (
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MIU Phone# ./
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BJc:t9.Jype:
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Port 1
2
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RPZ Installed Yts _ No _
RPZ Ser. No.
"~ Type
lead_ Copper)( Iron Pip<l <\',:~~.".
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.... Comments: ,,.{ crI +- ~,- .
, '.. (.of dO .,. ~ ~ f 0/'1" ., .
~" o-,'1~t . J~;j .b'~dl f->., i'<- -py:J:-
PCj,~his r~i?t i~bur rec~s. The final ~ading from ;aur 61~r meter
will be used in determining your next regular bill. -€~" .J+-." LJ Jr' "'"
If you have any questions or problems, please contact the Water Dept?t~etirdUnng I .
normal working h~urs. Thank you for ygur cooperation. ." y
INSTALLATION ACCEPTABLE ~~~EwtwIR~ ~E,,'
OCCUPANTS SIGNATURM~~'..
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DATE ( - 24- PHONE Yc.tJ-f',t/!i
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD ~.
Service Size
?rOUnd Yes ~o_
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