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ACCOUNT #
ADDRESS
x
140TH ST NE, 6121
OLD METER
KALOMAS, GREG
NEW METER
Ser. No. .,,25835530 Ser. NO.\.~ ! /') 8 g cL I 7
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Digits Reg.No.
Reading ~13 ,if ..>\ Size 'i Ie /alzIt.. I
July Read- k~ - c-- c---
MlU Ser. No. ~ ~ ) () ") } ./
,
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
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Service Size
Ground Yes _ NOY
'~ Type
Lead_ Copper~on 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 you have any questions or problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
I NSTALLA. ;nON ACCEPTABLE. ~A..~E.R ~'f SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE ,j ,kf<ttt&--1,t-L/(/o-::::;)
DATE :2 - ~ -()) PHONE Cj t:: ,:;. - if Cf /; -1/&/
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From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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