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ACCOUNT #
ADDRESS
325900
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BALSAM ST SW, 3420
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OLD METER
KELLEY MARK
NEWMETEFi !
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S N 1~22~615-
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Digits
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Readina
July Read 15000
MIU Ser. No._orl?<;" ~
MIU Phone#
Bldg, Type:
RPZ Installed Yes No
Service Size ''If
Ground Yes V~o_
Comments:
Reg.No.
Size
'''f
Port 1
2
RPZ Ser. No.
Type
lead_ copper~ron Pipe_
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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 ACCEPTABL.,E. WATER METER SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE,'}
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DATE
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Copy 1 Customer
From 90080 (4-93)
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PHONE
Copy 2 WS
Copy3&4WD