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ACCOUNT # 5~
ADDRESS
WOODSIDE RD SE, 5691
OLD METER
BALON, RICHARD F NEW METER
75'52053
Sedf'\.lo. ..at11.
Ser. No. 7702.. cr 8 $3 /
Reg.Nq;/
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..Oi Ju!y Read: 2137940
MIU'Ser. No. ~ '5" 0 "SLf ../
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M1U Phone#
Bldg, Type:
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Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
''if Type
lead_ copperK Iron Pipe_
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Ground Yes
NoX
Comments:
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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; ur cooperation.
INSTAllATION ACCEPTA
DATE
From 90080 (4-93)
PHONE
Copy 2 WS
- 5 b~ l)
Copy 1 Customer
Copy3&4WD