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ACCOUNT #
..~ 'W"- - - " .-. -.. . ,,,- ~_. T.'7~,. ..........- ..-----1
.,~.- ~""...,.,. ."....".~..~s:..~f'o-
01\1 - 78800 ~
/
X ELM AVESW, 16889
ADDRESS
OLD METER STUDNISKY, KAREN NEW METER
Ser.No. :l..fit 731 '1
V
Ser. No. '7 70 J.. '1 I 1-. 7
Reg.No.
Size ~/<J '1 3/0/ 10
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes _ No _
RPZ Ser. No.
Service Size
Ground Yes ~ No~
'~ Type
Lead_ CopperJ( 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.
INSTALLATION ACCEPTABL
OCCUPANT'S SIGNATURE
DATE 1- II - ? OO!>
l'
From 90080 (4-93)
If -)-0)..
Copy 1 Customer
PHONE
Copy 2 WS
Copy3&4WD