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,/
ADDRESS
/ 331&00 ( 3)
J( CARRIAGE HILL RD NE, 5350
ACCOUNT #
OLD METER
ADELMANN, MIKE
NEW METER
./
Ser. No. 77') 9JJ-.70 '5
Ser. No.
Lt';2 ~4Sg;;;.., ,
t31.4H-'
Digits Reg.No.
Reading 1f2fp~~,:\ Size lJ/g IOG~(
MIUSer. N~u'y Read: 10198AO f d- 3) ;; 7
MIU Phone#
Bldg.Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size / '~
Ground Yes ~o_
Type
Lead_ copper~ Iron Pipe_
Comments:
Please keep this receipt for your records. The final reading from your old water meter
will be Lised 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.
METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATUR
DATE 1--<1-01
___t-_.'~'
,
. PHONE' '1Cj C /,L;(( t 1.
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD