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110
AS.COUNT #
01?-;~.J 1100/
h~~ 1:,"111 g).
ADDRESS
J~ 7 Zfi
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OLD METER
NEW METER
Ser. No.~ Z .Lf. YLl:, 0 1-
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Ser. No. I / D-z... 75 D i
V'
Reg.No.
Size 5/~ "y /~ I
Digits
Reading//SZ~no /
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Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
''if Type
Ground Yes ~ No_
Lead_ Copper~ Iron Pipe_
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 YOI1 for your cooperation.
INSTALLATION ACCEPTAM WA;.r~mEAL WIRE IN PLACE.
OCCUPAN~' SI?NATURE fO(^/aJd(. .
DATE Jo I, "l..- PHONE qr;;.? - <-{ <-f D -J L? Ir
From 90080 ( 93) I Copy 1 Customer Copy 2 WS Copy 3 & 4 WD