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*CCOUNT #
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z201 0930u /'
/45'1 ,7 C~~(e
'I: 30 >
OLD METER
NEW METER
B,ldg. Type:
Port 1
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XSeqro "L~i1-JV:q~I?7~0'2/17o~,~
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RPZ Installed Yes ___ No _
RPZSer. No
...
Service Size "0 Type
! X Ground Yes - No - )/L";;./ Copper
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COMMENTS: Ct. OV'-'- f"-......, ~
Iron Pip'"
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,!:'Iease keep this receipt for your records. The final reading from your old waterme,ter
Vitll be used in determining your next regular bill. '1
If you have any questions or problems. please contact the Water Department during
normalworking hours. Thank you for y~ut cOQperation. . 11"
----:-----_._---_.._--------.~
! INSTALLATION ACCE",:II4E. W?1~ )ArER S~WIRE IN fV
X OCCUPANT'SSIGNATUREr b~ .(--.
:. -AATE (),;J-z,G :;..-0 V-~_ PHONF
, ,
_ Form 90080 (4-93)' Copy J. Customer Copy 2 WS '.
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