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ACCOUNT #
EAU CLAIRE TR NE, 4136.1
ADDRESS
KIMBALL. KEVtN & SUE .; .
OLD METER' NEW METER
31G'{'1; );
4139SS-
Ser. No.
/
::; :J 10 y~(o
Ser. No.
Reg.No. /
<;Vj (
Size ,I 3
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Ves No
RPZ Ser. No.
Service Size "16
Ground vesV'" No_
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,L LE.E, : W W1r'" ER,METER ~~~N PLACE.
OCCUPANTS SIGNATURE~ -I ,-,J/ f.L.(::7Ji(Y'({/
DATE 11- / - 0 ~ PHONE,
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD
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