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ADDRES~
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ACCOUNT #
OLD METER
""4'9 .'
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NEW METER'
J.
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Reg. No.
Size S/ff )( 3/1 t/ Eta
(0 )~ \
Ser.No.3~i ~ (:1 lq~ Ser.No.-2:Jc
Digit'"
Reading~ 'is 7'20 J
MIU Ser. Nn
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MIU Phone #
Bldg. Type:
Port 1
RPZ Installed Yes _ No _
RPZSer. Nn
Service Size
"0 Type
Ground Yes _ No _
COMMENTS: J'^ \)~~
lead
I'-tdd
!)
Copper
Iron Pipe
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 you for your cooperation.
INSTAllATION ACCEPTABLE. WATER METErJEAL WIR~ IN PLACE.
OCCUPANrS SIGNATURE-4...1~;;( fl,..- /.. f/
DATE '" 0 - J 5{' PHONF V
f (V
Form 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD