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328000 X'
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BALSAM ST SW,~' 34,1r
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ACCGUNT#
ADDRESS.-
OLD MET~ARR JASON & MARGAR1JEW METER
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Ser. No. ':)}/0t1(0'
g
Ser. No.
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Digits
Reg.No.
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Size
s Ix (/
Reading
/3 g~ folof)
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July Read 1363250
MIU Ser. No. OO)~'fS l./rn
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size '~
Ground Yes ~o_
Type
Lead_ Copper V: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.
INSTAUATION ACCEPTAElLE. W~METER gEJ\J~:dIlRE I~ PLACE.
OCCUPANTiS SIGNATURE' . ~<__ /1'"
DATE / J II 7/ 0)-.. PH~~ j/
,
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD
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