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-ACCOUNT # 00'3 S Ysov v"
ADDRESS / ~7 0 S- ./:.e /'-? 0,,4-
OLD METER ~ V d t 7>; ~+ NEW METER
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Ave. NAi
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Sar. No.
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Sar. No. /D7;c; 93 '; /
Digits
Reading~(912O /
Reg.No.
Size!;:/ <t
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MIU Ser. No.
J~ >??1 '4 I
I
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
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Service Size
Qround '(es ~ No_
''ff Type
Lead_ copper-Xlron Pipe_
Comments:
CA \:>Qv--<
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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. ThanKyou for your cooperation.
INSTALLATION1\fCEPTABLE.,WATER M,ET~SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE '- .~- ~
DATE~fll- - \,L pJoNP~'~~ru'
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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