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ACCOUNT # 00 4 4 :2 000 v ., ,~:.:." ..
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OLD METER SHEFF t E L..,D
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8A-R"i
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511ft PMIi6' AJ/~
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NEW METER
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Ser. No.
c:;-/ hC(q 23~-/
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Ser. No.
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Reg. No.
Reading
/09_5: 4 70J
Tv km 15 D M /Yt 1S~ LIST -') V hcA-AIT
Size.
I"
.,
MIU Ser. Nr.
0(23 !;'~ I g
Port 1
?
RPZ Installed Yes _ No -
RPZ Ser. No
Service Size
Ground yes "It No -
,,(/) Type
Lead
copper)t- Iron PiPf'
COMMENTS'
Please keep this receipt for your records. The final reading from your old water meter
will be u~,. 'determining your next regolar bill.
If you h, ...' questions or problems, please contact the Water Department during
normal.' mg hours. Thank you for your cooperation.
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INSTALLATION ACCEP
OCCUPANT'S SIGNATURE
DATE 9-/ Lf -2oa 2.... ·
Form 90080 (4-93) Copy 1 O'bstomer
Copy 2 WS
Copy3&4WD