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, ACCOUNT #
I, hPRINGLAKE RD SW, 2868
I ADDRESS
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BLOOD, lARRY
OLD METER
NEW METER
~21768 '. vi
Ser. No. ll2 Lf~ 1 ~1> Ser. NO.'X1lo 12 W
Digits --', .",j Reg.No. 1
Readin~~5?~lo)^\ Size .~~
JUIYRe~d:~. ..) ./ I
MIU Ser. No. < 7;' J tt... 7
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MIU Phone#
Bldg. Type:
Port 1 2
RPZ Ser. No.
''if Type
lead_ copp~ Iron Pipe_
RPZ Installed Yes No
Service Size
Ground Yes rNO-
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 nration. )
INSTALLATION ACCEPTABLE. wAlr~ ME IN PLACE.
OCCUPANT'S ~IGNA.JURE / {A
o /
DATE '~ 1-~ ~ PHONE
, ~1 ,t{" (4'~ ~. C"'" 1 """,,m~ Copy 2 WS
Copy 3 & 4 WD