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UTIES SERVICE/METER CHANGE ORER <br />@11x URN -ON []SHUT-OFF NEW ACCNT. U.C. �SWR. CONSi. 0MTR,CMANGI <br />A nOLIC\TIOM ...... 1 ,FPLIC,I10 ♦I x0 <br />2 /6 7 9 79• <br />Ateoy4r Nuus[w 1 <br />3 � <br />3 <br />3 <br />SERVICE IJ,I 1 <br />ADDRESS,_ 7n. I <br />L... ....... flit <br />MVN VNlrf <br />o <br />11 <br />O• <br />a <br />C� <br />............ n: olx Clllli elifl i01311 <br />BILLING <br />wiIII0.NI_ Dkf FitLAF% <br />- <br />NAME <br />OF <br />BILL.STREET <br />�. CITv <br />10 <br />BILL, CITY <br />STATE. II 1 <br />BUILDER <br />1 <br />ACC T. CLEi SIGNED <br />REMARKS <br />■.0.-- <br />V <br />RYI <br />TURN .•v /OKO OR MC TCR CMAN„E <br />4NtA COO[ I) <br />O,TI 1! <br />IEMOVE M[r[P xuNftw <br />PREVIOUS <br />At\OIx0 IY <br />NSTALl u[TIA 4uMf[w <br />le PRESENT IPLADING <br />i[ <br />E ON OOFF []CHANCE <br />By, <br />4NE*E/T �f'/ LL EO 7"/t/_/Y EVI EGON OFF <br />NG DEPARTMENT DATE ENTERED IS fi <br />O[f CFIPT104 <br />W,t[w i[ <br />t[W[w iA <br />f[W[w <br />Tw,4[1• <br />]. <br />CN\w[[ <br />TCIAL <br />C VIIR[W <br />I <br />urmT, ,ol, <br />I <br />I <br />I <br />1 <br />I <br />D <br />REMA ns: <br />7669 <br />