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ACCOUNT #
ADDRESS <j; S~ S
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OLD METER
NEW METER
Ser. No.!d-~ Z 4 ~ b () I
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Ser. No. 77to '-j~/O
Digits /
Reading Gi-l71 5iJ .
Reg.No.
5/~"~
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Size
MIU Ser. No. ~S<tzq t./
- , .
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes _ No _
RPZ Ser. No.
Service Size
''t
Type
Ground YeS~NO_
Lead_ Coppe~ 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 you for your cooperation.
INSTALLATION ACCEPTABLE. WATER ME~m SEAL WIRE IN PLACE.
OCCUPANro/SIG'Y'TURE / .d /I~ .
DATE /1 111-.! fYL PHONE
From 900~O (4-fh) I - Copy 1 Customer Copy 2 WS Copy 3 & 4 WD