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428200
ACCOUNT # / '7
~CHESTNUT LANE NE, 4246
ADDRESS
SKJONS8Y JULIE
OLD METER
NEW METER
~~FJo~823 1,.- /
Digits
Readinp 5'~~1. ~OJ(
Juiy Read 547(0)
MIU Ser. No. d:.6J -t fJ &0
Ser. No. ,/
Reg.No. 'fJIJ'-
Size I'
,
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Si:z;e
'~ Type
Lead_ Copper~ron Pipe_
Ground Yes VNo_
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.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
A 11 r IJ
OCCUPANTS SIGNATURE Ufi/YUlJ f .J~L,~
DATE I (!- } i' ) (,It, ; PHONE 'I ;:;" I .:.....
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD
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