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ACCOUNT #
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ADDRESS
'-\' ASPEN AVE NE,14365
DISRUD: RANDY
OLD METER
"'-- _~ METER
Ser. No.
, f&qq70{J/
Ser. No;..13179QR..
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Digits -. Reg.No.
Reading./57$;;f(J'.efX Size ~/9 IcXJ00q I
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July Read: 123760 C . j /1 /
MIU Ser. No. . :...;d f5'f-"'1'
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size / '~
~rOUndY~_
Type
Lead_ copperk' 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.
INSTALLATION A. CCEPTABL~)YATER ~iETE~ SEAL n IN PLACE. \."
OCCUPANTSSIGNATURk-JA,b"iVIJ l/JAJ.I .,' /
'-/{- - I 'C".~
DATE 1----/0-, () -; PHONE_ ;)11- rr.P~
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy 3 & 4 WD
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