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ACCOUNT #
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~ PEREGRINE CIR SW, 16851
(p'-:.-.
44130l)",
ADDRESS
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01'0 ,M" ET, ER GOLDNICK, ROB ~W METER
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Ser. No. .~ Ser. No.
Digits 1l Reg.No.
Reading (l!~.)( Size 5/S'j/JGCf.--
July Read: 594040 r "1/)O 4-')
MIU Ser. No. ~ IV
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MIU Phone#
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11
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2
Bldg. Type:
Port 1
RPZ Installed Ves _ No ~
RPZ Ser. No.
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Type_
Lead_ copper~n Pipe_
Service Size
Ground VesANo_
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.
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INSTA~LATION ACCEPTABLJ-r:TER /'FYTr :SEA~ WIRE IN PLACE.
OCCUPANTS SIGNATURE. li..U/ 11
DATE ~ ~! C; -01 PHONE L/c./O -yo 2. 4
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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