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ACCOUNT #
. ~4100 57':J/03 d.'Ou
q) 5;;; - ,LfLD3 - 77 f' ~///,^\;( ') '. ,\U-
~ BEACl ST NE, 4970
, KLEIN, PHILIP
ADDRESS
OLD METER
NEW METER
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ser.No.~q.51",5>rr
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Ser. No. ~ ::" '-: ../../',/ '..
O,CfS-7 ~~(P
Digits Reg.No.
Reading ()t.j90~8() ~Size 5$1) 5St15t6
July Read: 405010
MIU Ser. NO.- )'3 ()O j ~
MIU Phone#
Bldg. Type:
RP4'lnstalled Yes _ No _
Service Size ) II
Grou~ No_
Port 1 , 2
~
RPZ Ser. No.
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Type
Lead-( cOPP~ Iron Pipe_
Cornments: (h Ttl r~{ W +0 ~L I vu:lffO 00;6-
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 ACCEPTA~j~ W~E~~T~ SEA~ WIRE IN PLACE.
OCCUPANTS SIGNATURE f'A;.j/ ^ ~
DATE sl<;7d 3' . P~ONE 1}(/3- [?"/S~
From 90080 (-93) f Copy 1 Custo~er Copy 2 WS Copy 3 & 4 WD
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