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. ACCOUNT # ~
ADDRESS Ir.rif~~
~i~r1l) /
0LL tuJ-d JJ. Sw
OLD METER
NEW METER
Ser. No.
3_1'70
Ser. No.
770:J.1'C{\/
Digit'
Reading-1!:l'S'\o J
Reg. No.
.,
Size -5/f'
'-.
MIU Ser. NO.-C()~~~
MIU Phone #
Bldg. Type :
Port 1
?
RPZ Installed Yes _ No -
RPZ Ser. No
Service Size
Ground Yes ~o _
,,(/) Type
Lead
Copper L Iron Pip'"
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
normalworking hours. Thank you for your cOQperation.
I
COMMENTS'
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INSTALLATIONACCEPT~LEr~.::'~.l~
OCCUPANT'SSIGNATURF - J ~,
DATE 06 -Ii- 07 'PHONF,e,~;t8-~~t)1tG
Form 90080 (4-93}
Copy 1 .Customer
Copy 2 WS
Copy3&4WD
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