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~. ACCOUNT# ()O!>6&5?W'/ .. Radul P/1tUIt ~
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OLD METER \
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NEW METER
Ser.No. J1yo.JJ{!fj~
Ser. No. ,)/ Z '3 cJS-J 9 \
Digits. Bt) :A Reg. No.
Readlng~~ 75.3 t) z. \ Size 5/8
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MtU Sor. No. ()t) 3S- a5"9-/ J;JP
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Ground Yes _ No _ Lead_ Copper_Iron PIP8- .~
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COMMENTS:J~ 1h:t7l.-7/.uv (lJH..diY; . ....~
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Please keep thiS. receipt for your records. The final reading fro~fS(8'water rGd.;~
will be used in determining your next regular bill. 1
If you have any questions or problems, please contactthe Water Department during ~1
nor.~IWOrkin~ours.-.!han~YOUforyour~OQIlOral.Io... . _ _ _. _ _ _ 1
, INSTALLATIONACCEPTAB. ~r~REtNPLACE.
OCCUPANTSSIGNATUAE ~ . ..
DATE 9/1'/0 ?t7
Form 90080 (4-93) Copy 1 Customer
MIU Phone It
Bldg: Type:
Port 1
2
RPZ Installed Yes _ No _
RPZSer. No.
Service Size
"0
Type
PHONE:'_:__~'
Copy2WS Copy3&4wD
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