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ACCOUNT # 0 0 3 9 S- q 0 0 /",,:~.:...
ADDREss3g I.J L/ Sf /rl P J(., JJS DR.. 5 tV
-'
OLD METER
NEW METER
, 77023b37/
48550;Z 13- ')
$er. No. Ser. No.
big It'" o '1 00 ., I 0 / Reg. No.
Readino Size S/~y :Jlf
MIU Ser. No
003Sf! 37S
MIU Phone #
Bldg. Type:
Port 1
:>
RPZ Installed Yes _ No _
RPZ Ser. No
Service Size
Ground Yes 't.- No -
"0 Type
x
Iron Plpp
Lear!
Copper
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.
Ityou have any questions or problems, please contact the Watilr Department during
normal working hours. Thank you for your c~peration.
-....-----------------------
INSTALLATION ACCEPT~E WATER My~.....L...........~...I.RE IN PLACE.
OCCUPANT'SSIGNATURE ~ ..'
(/ . .~.
DATE q-)3 '2002.. PHONF .
Form 90080 (4-931
Copy 1 Customer
Copy 2 WS
Copy3&4WD