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ACCOUNT #
261900
\~1,p . j
10
v(
WOODLAWN CIR 81::., 5371
ADDRESS
NEW METER
OLD METER BURGESS .JOHN
~7S '!:> 7 -, ~ 'i ~
Ser. No. - ~728SS.a
Digits
2~D\.l-/D ,J(
Reading
July Read "164870
MIU Ser. No. :::; '6. 2.. '-/I--} {p
MIU Phone#
Ser.No. J / ~
IV ,."
Reg.No I
, I
Size I
Bldg. Type:
RPZ Installed Yes
No
Service Size
Ground Yes
No_
Comments:
Port 1
2
RPZ Ser. No.
'11
Type
Lead_ CopperX' Iron Pipe_
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 ACCEPTABLE. WAT~METER SEAL WIRE IN PLACE.
OCCUPANTS SIGN JURE c;;. \).....,.r'c::;{~
~
DATE
Copy 1 Customer
PHONE
Copy 2 WS
Copy 3 & 4 WD