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ON
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X BASSWOOD CIR SW, 3588
12900
t
ACCOUNT #
ADDRESS
OLD METER
OLSON, NATHAN
NEW METER
5702.. Cfb.l3 ./
S; N '12129981 ';
er. o.
Ser. No.
/VA-
Digits
Reg.No.
Reading Om f' In x.. Size
July Read: 167260
MIU Ser. No. 0052 ~3"8 7
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
''t Type
"
GrQund Yes _ NO~
Lead_ Coppe(){.. Iron Pipe_
Comments:
k
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 yourcoopeiation.
INSTALLATION ACCEPTABLE'. ~E~~SEAl WIRE IN PLACE.
OCCUPANTS S1GNATUR~~~t--- ~
DATE~o3 PHONE
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
11/25'/OJ-
'.co" .