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ADDRESS
0.0' '(,.7.,..14) 0'0 /
J7;;l7LfI SuAvi
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ACCOUNT# ·
Ii QLD METER
NEW METER
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Ser.No.~~ 10,-ry ser.No."~~~?bG
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Digits Reg.No.
Readln~ ? o,J0'j.V ./ SI", r;~>q& fro
M1U Ser No. -Z% 3 G, 3. 10') "'-t
MIU Phone#
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 you for your cooperation.
INSTALLATION A.C C.E ..PTA B.LLEE.JJt AI>;[/E.,RRJ MET'!f....E. .'. ...................R... E.......I..N....P. LA..C. ..E.
OCCUPANTS SIGNATURE ~ () .. ...._.. . .
DATE ~/J-'-I Lfiz . PH~E' ",.2. ~v.;,..,
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From 90080 (4-9~ f'opy 1 Customer Copy 2 WS Copy 3 &<4 WD