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ACCOUNT,#
~ SIMPKINS DR SW, 3897
ADDRESS
TIEBEN, DOUGLAS & PATRICIA '
OLD METER NEW METER
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Sar. No.
Ser. No.
Reg.No.
Size 5?f / tJOo 60 (
Digits
~inp 1 /ff,t(;; aI'$(
. , . . July React: 107000 . h
MIU Ser. No. c; 2. Cf . tf(p
MIU Phone#
. Bldg. Type:
Port 1
2
RPZ Installed Yes -"- No _
RPZ Ser. No.
Service Size
Ground Yes 2{ No_
'~ Type
Lead_ copperV'lron 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 ACCEPTABit)ATER ~,ET,{~ 1JRE IN PLACE
occuPA/llr~ SIGNATURE~ lii,!).U
DATE.tl ;...<21....0'~ PHONElf-tfO,.. ;:;Q?((
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", From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD
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