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ADDRESS-Ll/011 J,''fIID-tIt { Ave. Ale
I
ACCOUNT #
OLD METER
NEW METER
Ser. No
tJ5~'" J.51[ Ser. No. '71]O-:z 9'l.9!7 /
. 'fr.gits
Reading 65C )OfO
/
Reg. No.
Size ,ho'l
MIU Ser. No.
oo..~s ~ 7.2
MIU Phone #I
Bldg. Type:
Port 1
~
RPZ Installed Yes _ No _
RPZSer. Nn
Service Size
GrOUnd' Yes _ No ~
,,(/) Type
Copper ~on Pip'"
lead
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 cOQperation.
-----------------------
INSTAllATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANT'SSIGNATURF, ~ ~
DATE ~~. fer, 6 L PHONE ''lG7.:-#1..;,1.f.S9~
Form 90080 (4-931 Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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