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ACCOUNT' O[)38.1.~OO/ '~
ADDRES~ I (,-,)( 9 5' lAJESifSu(<. Y /ff) e s W
OLD METER S7RA- YER NEW METER
Ser. No
11~14<3~12
77[)196'10/
Ser. No
DigitCt
Reg. No.
Size S I~ ')( .}II{
/PI)(;)
Reading
0840/5D/
MIU Ser. No.
V035J,?"-7
MIU Phone #
Bldg. Type:
Port 1
:>
'RPZ Installed Yes _ No -
RPZSer. No
Service Size
Ground Yes~ No_
, ,,(/) Type
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 dete..-ining your next regular bill.
If you have any qU8S~ns or problems, please contact the Water Department during
normalworking hours. Thank you for your cOQperation.
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INSTALLATION ACCEF'TA't!- WATER ME
OCCUPANTISSIGNATURF~ ~ ,1-./
DATE9-J..o"'')t?O~ PHONl\\,<.,i~~-cH1- "7" ·
Form 90080 (4-93}
Copy 1 Customer
Copy 2 WS
Copy3&4WD
1
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