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ACCOUNT # .... l5'/
. )< LEMLEY CIR SE, 5290
ADDRESS
KOLSTAD,RUSS
OLD METER
~-
23721844
Ser. No.
NEW METER
Ser. No. ~7.r:72 ~
~J?igits Reg.No.
~adl.n.p ~ J\ Size Q~ 10 &1 \
'-. JutyRead: 455100 f
MIU Ser. No. 5' 7 () 5 I.p 0
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~IU Phone# '" '
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Bldg. Type:
Port 1
2
RPZ Installed Yes
RPZ Ser. No.
\.
\
\
No
Service Size
''t Type
Ground Yes
No_
Lead_ Copper_ Iron Pipe_
Commants: lJe/t C{ ( #.t.~ ',"sit!' {(pj
W\ F.-f-tPV' H Ot/h.
. I
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~ATER~WIRE IN PLAC~.
OCCUPANTS SIGNATURE . ~ .... .
Ii
DATE ~ -:21 - ~ '=? PHONE95 z- 4 Lf..o -"3R7
From 90080 (4-93) Copy 1 Customer CllQ!!2 w..s ~ COPh3 & 4 WD
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