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ADDRESS
OLD METER
NEW METER
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5or. No. ~ 7f(;;(}:2 )C({b 5or. No. 7 109 '117$;i:'"
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I Reg.No. / . ./ .
<B')C3;2W J Size (j~ /r) 6~ 1"
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MIU' Phone#
Bldg. Type:
Port 1
2
RPZ Installed Ves No
RPZ Ser. No.
Service Size./ '~
Ground ves2(No-
Type
Lead_ coppe~on Pipe_
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
normal working hours. Thank you for your cooperation.
OCCUPANT'S SIGNATUR9
DATE / () - 17 -C) ,~,
From 90080 (4-93) Copy 1 Customer
Copy 2 WS
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