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ACCOUNT #
ADDRESS
X DULUTH AVE SE, 16711
OLD MET~R
SUrNVAY
. NEW METER
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Ser. No. t'SltI1DO
J
Ser. No. 60 -") :< /3 )b
Digits . Reg.No.
R";"in9 Lf )':~ 0,0 II ~:x; Size I ~ II I I 0
MIU Ser. J:.1Y Read: 4176000 5-7 () '2 '0 0
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No RPZ Ser. No.
Service Size "~ Type
Ground YeS~NO_ Lead_ coppe~n Pipe_
Comments:S:06A/'l Itf Ja.f h,_J {AI",} 'f/J(fJJ
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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 qu'estions or problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTALlATION ACCEPTAB~d!TER " WIRE IN PLACE.
OCCUPANT'S SIGNATURE 'A A ' J,~
DATE ~. /2. 6 ./ 0 / PHON~t.f- 'f 6 :- 7B;2. 7
From 90080 (4.93)
Copy 1 Customer
Copy 2 WS
COpy 3 & 4 WD