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ADDRESS
1'I9'1D
frx;~
OLD METER
NEW METER
Ser. No. ?-.J/ 1- tf S"J '10
Ser. NO.-,77n "k1 M I
Digits
Reg.No. /
bCj 7t-Qo / sizef;s~ J,/~ ffD
35'S to IS-I /o~,
ReadinQ
MIU Ser. No.
MIU Phone#
.
Bldg. Type:
Port 1
2
RPZ-Installed Yes No
RPZ Ser. No.
Service Size ''t
Ground Yes ~NO_
Type
Lead_ copper-J\.lron Pipe_
Comments:ffi .'~ \H
~
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 YOt]."" ur cooperation. . .
INSTA. LLATI.ON ACCEPT. LE.~"ER ER SEA~REIN PLACE.
OCCUPANTS SIGNATURE ~ M- ~ ~
DATE 10-/-1 V" PHONE
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD