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ACCOUNT #
t'/
~/ /
. COACHMAN LANENE, 4365
361300
ADDRESS
ROBROCK, JOHN
NEW METER
OLD METER
Ser. No.
3203889
Ser. No.
J
1~ 3 ~<6S'7 ':I
Reg.No.
~IJ
Size. c;
-/
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Ground Yes ~o_
''if Type
Lead_ copper---.-0ron Pipe_
Service Size
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 ACCEPTAB". WATER METE~.SI)AL WIRE IN PLACE.
OCCUPANTS SIGNATURE I~) .( tYrl. J.~. l j(()& /fl( I-
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DATE / / ~I 0 3 PHONE(.25l) tit.! () - IJe; =5
From 90080 (4'~3) I Copy 1 Customer Copy 2 WS Copy 3 & 4 WD