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_ -� <br /> ` � � 1 00 NOT kP. � <br /> �j/ _. � O � OuosiNceui <br /> 'C'ON LMROIi�SEW[NLYNST. W�CMG. ❑^'�`i[ �: � <br /> �y yo <br /> �rucenon Ho. � 9 � — _�y , <br /> 3 � 7 , <br /> �rt BCD At[i.KO. SUfl�CCT. m[N4. NEv.CL SRE NO.uNiT� ONG 4SC1 I <br /> ii, o .3,, n3o � <br /> � �, n.�.�.G - 1��� o " eQ� _ -01�,c� <br /> :�.�,.,i,� .� <br /> 3II.LING NAME � � � <br /> 6 (� <br /> BILLING I1DOR = ` U V <br /> CRY,57ATE i Ir CLJ_YSJ_L1� ���� ��a�.'�J <br /> ! <br /> sERvice�oo �3 I�lyt�l��el(ll�:/31111_�'¢ <br /> OWNER NANE � <br /> 9UILDER t � � , <br /> , V 1 <br /> IS�GNEDX �✓�– �✓l� � JA�Y I �. <br /> IREMAR v� � � � <br /> �5.0.��I �� _�_% —LI) BY � <br /> � � 1 s �j-'� -'� -� �i:t'�I.�_� . <br /> TURN ON ❑ SHUT OFF ❑ �HANGE METER. � OATE 19 <br /> IREMOVE T�NO._ � RE�LNG ' <br /> 2 / r� � <br /> INSTAL +EiER NO. JYJ i '� ����?�� / READING ' � <br /> Y[W i VICE �,' J <br /> 45T1LLC0 _`� Z� ❑ Off 8,, ��i.. `�.� <br /> .;.;� � ." - , „ � . . ;'�a• � �3. - .+�,iG.��..�Ai�/ <br /> � y l�� 7 <br /> 1 _ <br /> � - � • �ATE ENTEPEO / � �g <br /> � ' DESCRIPTION NATCR SCwcR SEwER <br /> � ^ � � SENVICE SE9VICE CONSTqUCT10N TOTAL <br /> �'�' �� � CURRENTCHARGE � <br /> n <br /> �:l;...,1. . . <br /> n I�4 4 . B�CKCN�RGE <br /> ! � �.� �q- CF[OIT�DI�ST �..a <br /> � OTHER � <br /> � 7...`a. .`;i �, �" <br /> I . .. � . ... _ .. <br /> REM�RKS: • � <br /> _ — O. �3 �F <br /> """"'.-_.....e„e,�,��� <br />