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~COUNT #
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ADDRESS
OLD METER
LENZ, JEFF
. NEW METER
~'f'wO, rJ 'fe;-
Ser. No. 20211S81r ~
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Ser. No. .
Digits
Reg.No.
Readina r I 'J.-/ ;).. '31 v( Size 9 g k211l1 ~
July Read: 411950 ~d JJ::na. ~
MIU Ser. No. S- f) /77.>
MIU Phone#
Bldg~ Type:
Port 1
RPZ Installed Yes _ No _
RPZ Ser. No.
2
Service Size
Ground Yes~
IOn{ 'T:
P .ype I
Lead_ copp~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 working hours. Thank you for your cooperation.
INSTALLATION ACCEPT.fj;BLE. AT~, METER SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE ~
DATE I 'd-./tJ... ~/()::z r . PHONE '1 '/;2
From 90080 (4-93) topy 1 Customer ,Copy 2 WS
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