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0a?11300
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ACCOUNT #
ADDRESS
J BASSWOOD CIRSW, 3504
FELIX. CLEMENT & RENEE
OLD METER NEW METER
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11135
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7 "702 , JAb
Ser. N'o.
Ser. No.
Reg.No.
Size 5/% y 5hll 0
MIU ser.No.
MIU Phone#
Bldg. Type:
RPZ Installed Yes _ No _
Port 1
2
RPZ Ser. No.
Servi~Size
Ground Yes _ NOX
'~ Type
Lead_ copper~ 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
norm~VYorking hours. Thank you for your cooperation.
. INSTAu.ATION ACCEPTAa{~,WA~~~ETER SEAL WIRE IN PLACE
. OCCUPANT'S SIGNATURE "V~J (,I ~ ~~/;J
DATE 1- I J - ~o 3
From r7/J3)d / 0 J:~ 1 Customer
PHONE
Copy 2 WS
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