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ACCOUNT #
00 064200 ~
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ADDRESS
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DAKOTA ST SE, 4370 /
OLD METER HENSCHKE, LARRY ./ NEW METER
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Ser.,No.
Digits
ReamnQ 2 0):2100 ~
" . July Read: 262032000
MIU.Ser. No.
MIU Phone#
Bldg. Type:
RPZ Installed Yes No
SerVice Size "t
Ground Yes ~o_
Comments:
Ser. No. /70~ 9 71 7 i
. . /
Reg.No. /
9g !Or;q!
1S- C117(dv'
Size
Port 1
2
RPZ Ser. No.
Type
Lead_ copper~on Pipe_
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 ACCEPTAB~ATER M~ER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATUREA ~ 4fl; k 7 FA'> /U 4,(/" /
DATE / J - J ~ 0 J PHONE 1../'-/7 -L/.i./ L/ Lj I
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From 90080 (4-93) Capy 1 Customer Copy 2 WS Copy 3 & 4 WD