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ACCOUNT #
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ADDRESS
160600 v\
LYONS AVE SE, 16690
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LOMAX. DAVID & LIZABETH
OLD METER NEW METER/
S~r.No. ~:1.;;J)2'fr~::t Ser.No. 77CQ9'>/l
Digits
/ Reg.No.
:-;(1 ~ '1 ~() '. Size >/%
: ... ..- juty ~ead: 205250
~:~"M1US&l'; No. . 0 0 )'f q l. 4-7
I
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~,Bldg. Type:
Port 1
2
RPZ Installed Yes _ No _
RPZ Ser. No.
Service Size
Ground Yes~o_
'~
Type
Lead---.; CopperX,ron Pipe_
Comments:
Please keep this receipt for your records. The final reading from your old water m~ter
will.be used in determining your next regular. bill.
If YQu have any questions or problems. please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATIO. N ACCEPTABL~. w;r5lJ METER SEAL WIRE IN PLACE.
OCCUPANT'S.SIGNATURE / .~.' It ....../
. , ..../ " .
DATE /D ,j (. )r- PHONE'le:J- .I..J'i'?- <'i9SJ
From 90080 (4-93) Col'Y 1 Customer
10 II '1-10 )-' -
CopY 2 WS
Copy3&4WD