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ACCOUNT #
ADDRESS
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G,L;~L)-e
OLD METER
NEW METER
Ser. No. ..:2 'tl <;;~clG'S7
/
Ser. No. ~7 "2..- i .
/
Reg.No.
Size ~ X 3/~'ff()
(Oa~'
~g~ ,
ReadingC17101' Q /
:1 (<6crJi
MIU'Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
Ground Yes XNO-
''t Type
lead_ copper~ Iron Pipe~
M -J-~
,
Comments:
b,!
,
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.
INSTALLATION ACCEPTA
IN PLACE.
OCCUPANTS SIGNATUR
DATE h,> - c,' r 0 "'L-
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy 3 & 4 WD