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ADDRESS
262200
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FIVE HAWKS AVE SE, 16615
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OLD METER
STEFFENS TOM
NEW METER
Ser. No.
~f"/1117
100585lf1
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Ser. No.Jn 0 .5 2J .-; _"3~
Reg.No. _ ...l-
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Size ) ~ .'-}.tlt1~T
~ 0 $74 2..$~
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Digits )
Reading 0 Z-t'f~/~'
July Read: 1689000
MIU Ser. No. II ) It I L "1)F T(~ ,,2 A )&:..})
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MIU Pho{le#
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Bldg. Type: Port 1 2
RPZ Installed Yes No RPZ Ser. No.
Service Size ''ff Type
Ground Yes No - Lead _ Copper_ Iron Pipe_
comments~~ W7- 7fO<l -# c907
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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 ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE
DATE ~ -.3(5 -' 0 ') PHONE
From 90080 (4.93) Copy 1 Customer Copy 2 WS
lj (C1/t17
Copy 3 & 4 WD
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