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ACCOUNT #
ADDRESS
#,
, .!
/'
DAKOTA ST SE, 4955
OLD METER
MAAS, TROY
NEW METER
3977671t}
SeriNo. .127841
Reading
77 ()?,q C/-fI- ')
Ser. No.
Reg.No.
Il) KmO / Size ~~
Digits
. July Read: 107545J) /",., r 4-/'7
MIU Ser. No. () ().. ).' '-P'. -) ..' {
- f
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
~N~S~ / ~
Ground Yes~_
Type ,
Lead_ coppe~on 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 ACCEPTA~~;~ETER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE ,r, Vw5
DATE i}j.~ ~\7 Cll17_ PHONE tr};,-lIL/O \~S~i
From 90080 (4-93) , Copy 1 Customer Copy 2 WS \, Copy 3 & 4 WD