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ACCOUNT #
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~-+-
383.400
ADDRESS
J(' CARRIAGE LANE NE, 14557
MCQUARRIE, ROGER
OLD METER
NEW METER
'-18 J7:J Iq~
~'uut2-
Ser. No.
./
Ser. No. 7 7 (2.2 'U 23
Reg.No.
Digits
ReadinaO 9.1 0,. !!is 0 J(' Size
July Read: _'
OOS2..~~o'-l
5/<;. y3N 10
MIU Ser. No.
MIU Phone#
B,ldg, Type:
Port 1
2
APZ Installed Yes No
RPZ Ser. No.
Service Size
Ground Yes'C:- No_
. ''% Type
Lead_ copperx:' 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
normal working hours. Thank you for your cooperation.
I. NSTALU\TION ACCEn.ABLE. "'(ATER MET~EAL WI.~: IN PLACE.
OCCUPANTS SIGNATUR~~T(~
DATE 19 -:1'6. ~'2... PHONE
From 90080 (4093) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
I;A -19
1
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