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ACCOUNT #
VALE CIR SW,3286 V'
ADDRESS
, JASKOWICK, DANIEL / .
OLD METER NEW METER .
Ser. No.
24542833
Ser. No.' "7 7tZ1!J"~fD I
~
Digits Reg.No.
Readina tJ lL.J32 00 ,/ Size 5Te X 3/y- /D I
JUly Read: 122800 /
MIU Ser. No. 0 0530301
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes _ No _
RPZ Ser. No.
Service Size
Ground Yes -'-- NO.:i.
,,'~ Type
Lead_ copperX Iron Pipe_
Comments:
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 yoiJ have any questions or problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATION ACCEPTA~AT-=-R MET~ SEAL WIR~ I~?CE.
OCCUPANTS SIGNATURE -'/' ?-' t: - ~<I
DATElGJ5 - JoQ2 ,-- ~~E 1/41- ~1 J /
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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