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16300
(1)
ACCOUNT #
ADDRESS
S(' BIRCHWOOD AVE NE, 5734
MANLOVE,DAVE
OLD METER
NEW METER
33110978
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Ser. No.
Ser. No.
Readinp
Reg.No.
d-.37;771Y. Size t; I~ /0 '4 f
July Read: 190730
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Digits
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MIU Ser. No.
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MIU Phone#
Bldg. Type:
RPZ Installed Yes
Port 1
2
No
RPZ Ser. No.
Service Size
Ground YesX' No_
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Type
Lead_ coppeWlron Pipe_
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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.
INSTALLA, J"ION, ACC,E. PTABLE.~~R. SE~~~IRE IN.. PI.ACE.
OCCUPANTS SIGNATURE (( h~/ 2,;1' y~
DATE r""" 7 :.. tJ~ "'C// PHONEq'SZ A4~-f17fj~
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From 90080 (4.93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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