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ACCOUNT #
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ADDRESS~ ij Ly(7ek-~~J.f> (,;v fE
OLD METER NEW METER
Ser. No.
1(')5
Ser. No.
770 71lf-~,/
Digit'"
':) ~/} ~7 OJ
Reg. No.
Size lOG a (
,
ReadinQ
@g
MIU Ser. NC'
no'59,~cr7
MIU Phone It
Bldg. Type:
Port 1
?
RPZ Installed Yes _ No _
RPZSer. No
Service Size
"0 Type
Ground Yes _ No ><"
"";':;0..
Copper \'--Iron Pipp
- -
lead
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 ",ou have any questions or problems, please contact the Water Department during
nCJm1al.working hours. Thank you for your cooperation.
INSTAllATION ACCEPT~BlE. WATER METER SF;fl WIRE IN PLACE.
OCCUPANT'SSI~ATURE 11 111.ct~ 1- fh..,..../~
DATE V; -II j ?.h I. "V' P~.t!..,? ~? ~ ~.
Form 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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