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ADDRESS
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Ser. No._7)()2, 99111 /
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. ACCOUNT #
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OLD METER
NEW METER
Ser. No.
11 ?ref qySO
Digits I.). ~()~O Reg.No.
I 0'7 0 I Size ~!$ X'-?'/-I 7>(0
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Port 1
2
RPZ Jnstalled Yes No
RPZ Ser. No.
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Grou ld Yes ~ No_
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Type
Lead_ Copper ~Iron Pipe_
CA ~v''t'' "" .tJvv-
'81/5 ;;:;"fJO JI\tiful. ru.&~JLJ
Please keep this rec~our records. Thef~'fitf~~ fr~66~r 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.
INSTALLATION ACCEPl'A,f3LE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATUREelYn!(~ ~::r..'...........~............~.;,..~.......'.,".'. ........c..........
DATE 0, - Z,7-0-z- PHON~t~i~i
From 90080 (4-93) . Copy 1 Customer Copy 2 WS Copy 3 & 4 WD