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ACCOUNT #
AODRESS
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27900 (S)L
)(SROOKS CIR S~ 5471
BONSTROM, DANIEL NEW'METER
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OLD METER
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,;. 28632214
~t,No.
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Ser. No. 7?~'7~r-'I-
DiQits
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July React 993100 ~
MIUSer.No. 5"'70 I) cr
Reg.No.
Size 'Vg /0 G?f,(
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BJdg. Type:
Port 1
2
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R~Z Installed Yes --'- No _
S$vice Size
RPZ Ser. No.
.~ Type
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Ground Yes No Lead_ Copper_ Iron Pipe_
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Comments: 10- 3o-~~ -gpo.d :;;".,,, l'C(rt t:>\ \VLe!
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PI ase keep this receipt for your records. The final readiA6 ~&.o1ctw$
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. Thar;lk you for your cooperation.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN. PLACE.
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OCCUPANTS' SIGNATURE/)"il\ O--C 'rf'---' J{S-/l '-" ~ .~..-
DATE l\. II \ (':) PHONEtfL! () -l/ 61.,. 'Z--.
From 90080 (4-93) Copy 1 cU....".f Copy 2 WS Copy 3 & 4 WD
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