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ACCOUNT #
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ADDRESS
~AMBLEWOOD DRiNE, 5431
OLD METER LACROIX, NICHOLAS NEW'METER
Ser" No.
35562115
Ser. No,
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77 ?W70X"
Reg.No.
7/ ~ /()641
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Digits
Reading~ 77 ;(. ~ 7 a./ Size
July Read: 1 ;2~210 "'7\
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MIU Ser. No.
C-'
MILJ Phoned
Bldg; Type:
Port 1
RPZ Installed Yes
No RPZ Ser. No.
2
Ground Yes ~No_
''% Type
Lead_ Copper~ Iron Pipe_
Service Size
Comments:
Please keep this receiptfor your record~. 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.
INSTAf.,LATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE ,J ,A,j"J ;~;/, ~_
DATE \./ .Gf~ 0 ~ rtONE~.,; /f.{,g
From 90080 (4-93c) Copy 1 Customer Copy 2 WS! Copy 3 & 4 WD
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