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ACCOUNT #
ADDRESS
GLENDALE AVESE:'.14662
OLD ME~t:~ I cD, SHARON & ti I t::\fiNv METER
I
se{;No. ."P(? Lf'O <) Lr
Ser. No.-'7o z,.lj If' / 1/,
Digits Reg.No. .
R~in~7-.6L--~ j Si"'~~ ~
",.,'July Read: 360190 ,1 0 '1 61
MIy;ser. No. ~ 59 V"~ .;
Mill Phone#
BldQ. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
('
, SeNiceSize
Ground Yes ;(::0-
comments:-'o-' be) vt
"/I Type
Lead_ coppe~ron Pipe_
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Please keep this receipt for your records. The final reading from your old w~ter meter
wiH be used in determining YOLJr next regular bill. f','. ,
If you have any questions or problems, please contact the Water Departmenfduring
normal working hou'ts. Thank you for your:. coo er 'on
INSTALLATION ACCEPTABLE.
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OCCUPANT'S SIGNATURE
DATE '1- 76-o~
From 90080 (4-93) . CQPY 1 Customer
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Copy 2 WS Copy 3 & 4 WD