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ACCOUNT #
.,'-" .
.401600
,"".,.,..
10
ADDRESS
X WILDS LN NW, 2932
STARKS, LARRY
OLD METER
NEW METER
'11L/1-S (~f.t /
S N -12V-890' --.;
er. o. Ser. No.
llll
tSlger I
Digits Reg.No,
P.eadi'~~7/)I(" -:1.0 -\ \ Size
" JulyRI;;ClJ-:-255880
MIU Ser. No. S 1-~ ! J 1
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
''t Type
Ground Yes * No_
Lead_ Copper~ 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.
INSTAU.ATION A~EPTABIf. W!>:rER ~~ER SEAL WIRE IN PLACE.
ocCUPANTS SIGNA ~URE f1L.t;- ~
DATE .~ 1l J2)" "
From 91080(4- ~~ 'Copy 1 Customer
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PHONE
Copy 2 WS
Copy3&4WD