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ACCOUNT #
ADDRESS
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X
HIGHWAY 13 SE, 4271
OLD METER
MCDONALDS
NEW METER
Ser. No.
29562164
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Ser. No. r., 0) ~ I (jJ 'f
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July Read: 8747000 lr-
MIU Ser. No. .YJ ()S'tj.J
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10
MIUPhone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
''t
Type
Ground Yes
No_
Lead_ Copper_ Iron Pipe_
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Comments:
7-11
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.
INSTALLATIO. N ACCEPTABLE. WATE~~EAL WIREI;N PACE. ( ,
OCCUPANTS SIGNATURE ~~Jl^ Jrj ^ , ' '""' I
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DATE - '1 ~ ) - 0 J PHONE - } ,
From 90080 (4-93)
Copy 1 Customer
COPY2WS~. OPY3&4WD)
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