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TIMSERVIEWST SE, 5991
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ADaRESS
HEDENSTEN, DENNIS
OlD METER NEW METER
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Se~No.
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77ot-er'-/2 ~
Ser. No.
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MHJ.,'Ser.NO. ' 3>~Z t.. 0
Reg.No.
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Size I $J "
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M1tlJ'Phone#
Bldg.Type:
Port 1
2
RPZ Ser. No.
'RPZ InstaUed Yes'_ No _
s4 Size
Gr~YeS~NO_
"1 Type
Lead_ copper-f( Iron Pipe_
Comments:
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Please keep this receipt for yo~r 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 <:ontaCt the Water Department during
normal working hours. Thank you for your cooperation.
'INSTAlLATION ACCEPTA21 ~ATER METER SEAL WIRE IN PLACE.
OCCUPA~7/;ATURE ""U . flJ;dt""I~h'~'
DATE PHONE
From 90080 (4-9 popy 1 Customer Copy 2 WS Copy 3 & 4 WD