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ACCOUNT #
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263100'/' "\I~.1j ~.I'O,:
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WOODSIDE RD SI:, 5491
ADDRESS
OLD MET~GER, DAVID & ELIZABB~W METER
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Ser. No. Ser. No.
N/4
Digits Reg.No.
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Re~ing.....~7'I~O Size
July Read: 60000
MIUSer. No. 3~~'o'<.. ex .1
M~U [phone#
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BI~9iType:
RPZ Installed Yes
Port 1
2
No RPZ Ser. No.
Service Size
''t Type
Ground Yes _ No ,)<
Lead_ Copper_ Iron Pipe_
Comments:
Please keep this receipt for your records. Thefinal"m your old water meter
will be used in determining your next regular bill.'..:'" ,.'
If you have any questions or problems, please contacfthe Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUP~~ SIGNtTURE ~&
DATE~U/) pO.'t-_PH~
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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