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ACCOUNT #
00 J..~3300
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ADDRES~
/53CJ/
REO OA-I<<; Rd
OLD METER
NEW METER
-Ser.No.3S"5t. 2 D 99
Ser. No.
770,.qt..<~
Reading
/1..1:,4 If SO.!
Reg. No.
5/i 'X :3)1{
Size
Piglt'"
MIU Ser. No
3S~3 ~"
MIU Phone #
Bldg. Type:
Port 1
~
RPZ Installed Yes _ No _
RPZSer. Nn
Service Size
"0 Type
Ground Yes _ No p.
Lead
Copper X Iron Pipp
COMMENTS:
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 METER SE~E ~N ~
OCCUPANT'SSIGNATURELd~- ~ ~
DATE cr -I 3 - 2.001.-
PHONF
Form 90080 (4-931
Copy 1 Customer
Copy 2 WS
Copy 3 & 4 WD