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468000
ACCOUNT #
J~
X' WILDERNESS TR SE1-t6875
ADDRESS
GIESEN, ROBERT
NEW METER
OLD METER
Reg.N
J('size
Digits
Reading ()~ia.~7 0 0
July Read: 34 10
MIU Ser. No. () 05 ~ 'Z (b iX. ~
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size. ''%
t/
Ground Yes _ No_
Type
Lead_ copper~n Pipe_
Comments:
.-
Please keep this receipt for your records. The final reading 'from yollr old w~iter meter
will be used in determining your next regular bill. .
If you have any questions or problems. please contact the Water Department quring
normal working hours. Thank you for your cooperation.
INSTALLATION ACCEPT~B~TER SEA.tJ"IRE IN PLACE
OCCUPANT'S SIGNfTURE~.=-z:J' ~jIL: . ~
DATE 0~/ '- PHONE
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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