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ACCOUNT #
004:10300/
38J.5
ADDRES~
Lu J L.L/Jw Wt2J2j) S1;..5 tAL
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OLD METER a~K
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ser.No.~ ~7l3S11 Ser.No
NEW METER
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Digit-
Reg. No.
Reading b~7q '3f1J / Size
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MIU Sar. N,.
()o3SgSJ.5
MIUPhone #
Bldg. Type:
Port 1
:>
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RPZ Installed Yes _ No -
RPZ Ser. No
Service Size
Ground Yes ~ No -
"0 Type
Lear!
Copper ~ Iron Pip"
I COMMENTS'
Please keep this receiptforyour records. The final reading from your old water meter
. ,/'I will be used In determining your next regular bill.
'1 If you have any questions or problems, please contact the Water Department duri.ng
normal working hours. Than~ you for your cooperation.
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INSTAllATION ACCEPTA~WATER METER SEAL WIRE IN PLACE.
OCCUPANT'S SiGNATURE ae&r::'Pt r:;;~ t1!.f:,. ~ ./
DATE Q-10 -2l>>2... . PHONF
Form 90080 (4-93}
Copy t Customer
Copy 2 WS
Copy 3 &4WD
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