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AD'O'RESS
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ACCOU~T # Wn M-j llc..cJ-~ 1 vdLu.d-
J( CANDlEWOOD LN NE, 14290
CHOCK, BRADLEY & ERIN .
OLD METER NEW METER
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Ser. No.
3694957'
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1/~$8)-) /
Ser. No.
Digits , Reg.No.
Readinp . !'t.K2"'7'~ .~jze)/1/ J bA
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MI.U~Phone#
BIdg.;Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
f'
I
Service Size
Gro.~hd Yes KNO_
''1
Type
\'
Lead_ Coppe~on Pipe~
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Comments:
Please keep this receipt for yQur records. The final reading from Y9Ufo1d water meter
will be used in determining yoUr next regul.ar bill. __ /~
If you have any questions or problems, pl8ase contact ttle-Water Department during
normal working hours. Thank"you for your coope.ration."
INSTALLATION ACCEPTABLE. WATER MeTER SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE ~ Q .CQ.Q:.
DATE. 1;; g ,()) ,PHONE A5Z."l~3"</d91
. From 90080 (4-93) Copy 1 Customer . ~WS" Copy 3 & 4 WD
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