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ACCOUNT #
~0100
, 7
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XSURREY LANE NE, 14598
ADDRESS
OLD METER
MOEN, TOM
NEW METER
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Se..: No. U1aH4 91~~ .2~06ser. No.
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Digits Reg.No.
Readinp g~..>( Size
July Read: 782130
MIU Ser. No. . U/)t;=1 i1<<J
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size "t
Ground Yes ~o_
Type
Lead_ copper~ron 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 workin~ hours. Thank you for your cooperation.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE-=fSf' C1 ~ . f"l,10-(' /..,
DATE \ 'f r. I-~ 03 PHONE/')) lftl ,', - --I (J 1 ~I
From 9OrnlO (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
12-)..6
1