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ACCOUNT # tJtJ6 f /90tJ / ~ '1/.Ltotvl
ADDRESS / 7/~/ tJLiL1.uJJ1...UXl) ~, 0~ 4')').
I.W
OLD METER
NEW METER
Ser. No.
7&7tJ& 73rv
Ser. No.
Reg.No.
fL.
Size ~
Digits
Reading &tJtJ//hO /
MIU Ser. No. 00 3G"gtl~[)
I
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
/J/
''if
Type
Lead~ Iron Pipe_
Groun@- No_
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 ACCEPTA~E. WATER M'7:ER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE 2Zt-f2- -
.
DATE 9' -Z 7-c? Z PHorEt1l17-- . .'/3t:rJ
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD