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ACCOUNT #
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111000
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ADDRESS ,}./ GRAINWOOD TR NE, 4000
OLD METER.... BRECKNER, RONALD 'NEW METER
Ser. No.
28382943
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770'-'110 1
Ser. No. iJ~~.j~
ReadiM
~30 Or.) J(
I
Reg.No.
Size 5/ V y J J~~io
Digits
July Read: 349510 ~ ~
MIU Ser. No. -
MIU Phone#
S-z.p z..?7,
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size ''t
Ground Yes ~ N04
....0
Type
Lead_ copp~ Iron Pipe_
A~f\<:" , /~".- '~ Ii- .r1~
Comments:-~!'...J,. . ...~:I--vrTz...-y".;:.?" ".,.-'. ' ?$(/"
Please ,keep this receipt for your tecords. 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 ACCEq" ~R MET~R SEAL WIRE IN PLACE.
OCCUPANTS SIGNATUR j, ,-,//1/~. _
DATE '1-L-. -0::5 PHONE g 15 '). - '-J~ - LV 1 0
From 90080 (4-9~ ~py 1 Customer Copy 2 WS
11-:)-' ~-er~ 12-4
Copy3&4WD