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4434001
ACCOUNT #
ADDRESS WILLOWWOOD CIR SE, 16868 /
OLD METER BAILEY, RANDALL ./ NEW METER
r~O'-t 5q70L -)
SeT. No. '7318399 Ser. No.
I
Digits
Reg.No.
s--rpq:J')(/ I
fO 00 ~/'-' , II
. I
Readina
Size r- /g
.3 (P5tf5Q I
July Read: 5408eO
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
'~ Type
Lead_ copper~n Pipe~
,
Ground Yes ~o_
Comments:
Please keep this receipffor 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 ACCEPTAo/j!'. WAT~R MEJ9 SEA~IRE IN PLACE.
OCCUPANTS SIGNATURE ~ ~.J4v-( !(, _ _ . I
DATE~ PHONE tt5J t.;qv 73&,-
'II ii Z/OJ. Copy 1 C_~, Copy 2 WS Copy 3 · 4 WD J