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. 1
ACCOUNT #
151000 )(
LYONS AVE SE, 16714
AdDRESS
OLD METER
LANCE, C R
NEW METER
/
770'Q. arr-/~.
~ 'J. r:zCl q;Z ,
Se~o. """4
Ser. No.
Digits
Reg.No.
.)1~10 j
Size
Y1 /() be( I
t
Reading
July Read: 296OQO "-
MIU Ser. No. n 0 1 f 'r '1 c.f s
MIt;J.Phone#
it .
BIctQ. Type:
2
Port 1
RPZlnStalled Ves _ No _
RPZ Ser. No.
Se~ Size '~ Type
, .
GraundYes No_ lead_ Copper_ Iron Pipe____
Comments:
PleS$e 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
nor"!81 working hours. Thank you for your cooperation.
INSTALLATION ~CCEPTABL~;~NEB ~~;T:/WIREI~LACE.
OCCUPANT'S SIGNATURE / ~.~Y7 (/.
DATE J0! /1 V- "---- ~HONE //1' 7 - If //7
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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