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ACCOUNT #
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ADDRES~
OLD METER
NEW METER
1 eo..., f/
Ser. No /-1~ /,)7(J~'
Ser.No. 770 7-9 Go ~ /
DigitI"
Reading (D ~ 2., '1D /
Reg. No.
Size ~~
y:~ J ~
I
0)y~
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fn 7-'"' \
MIU Ser. Nn
"4 ')'"9 ~g;
MIU Phone #
Bldg. Type:
Port 1
~
RPZ Installed Yes _ No _
RPZ Ser. No
Service Size
Ground Yes 'i.. No _
,,(/) Type
lead
Copper \Y Iron Pipp
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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
nor~l.workin~ourS.:.2"hank~o~o~o~~coqperation~ _ _ _ _ _ _ _
INSTAllATION ACCEPTABLE. WA)FR EFfJSEAl ~E IN~~I:'
OCCUPANTSSIGNATURF Z /1/ . ~---
- -
DATE I05.~2ctJZ- PHONE~:'~
Form 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy 3 & 4 WD