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ACCOUNT #.
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000 ~mO j 9\)4 \
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ADDRESS
DAKOTAST.SE,.4345 :
OLD METEPtlUOERlE, CHAD & SANDVNEW METER
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Ser.~. 4:IIJ S ...,
Digits
Ser. No. 770'Jr7rr/
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Reg.No.
.~ (
Size ,/K /06t1
ReadinQ
20 ~2 Jr;OI
MIU Se~. N~~'Y Read: ~ ") ~1 / &, Y /
MIUPhone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No RPZ Ser. No.
Service Size .~ Type
Ground Yes ~o_ lead_ copperXIrol1 Pipe_
Comments:
Please keep this receipt for your records. The final reading from your old water meter
will be used in determihing 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'WATER METER SEAL WIRE IN PLACE. .
. OCCUPANr~ SIGNATURE. 01yr>tf"d..cYlJu d~ 4
DATE ID/ ) I" '2 PHONE %) -''-Wb<59'SlJ
From 90080 (~ Copy 1. Customer Copy 2 WS Copy 3 & 4WD
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