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ACCOUNT It
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ADDRESS
I 6'i ~ I
OLD METER
SIMe.K1lJ5 CIR sw
k L- e-, N NEW METER
$er. No. S'JW b701/ Ser. No. NA-
Digits Reg. No.
Reading Obj~ ~()O./ Size
MIU Ser. No.
00351J3~~
MIU Phone ,.
Bldg. Type:
Port 1
2
RPZ Installed Yes _ No -
RPZSer. No.
Service Size .
,,(/) Type
Ground Yes ~ No -
Lead_ Copper ~ Iron Plpe_
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
normalworking hours. Thank you for your cooperation.
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OCCUPANT'S SIGNAT
DATE
Form 90080 (4-931
Copy 1 Customer
PHONE
Copy 2 WS
Copy3&4WD