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ACCOUNT #
ADDRESS J" 77h 0 c~~tJ ~ 'Y A.U.e < ~
OLD METER RUJ>DLP# NEW METER
Ser. No.
47QOlh.?:J
/
Ser. No._77CJ";;..9 If <87
Digits
Reading-Ol.J-I_~ t:t6n /
Reg.No.
Size S/ ~ x-3/lI / n
MIU Ser. No.
DO 35:-'K "~I .~
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
Ground Yes Y No_
'';1 Type
Lead_ CopperX 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.
INSTA.LLATION. ACCEPTAB~. . 'R/f. TE~ ~SEAL WIRE IN PLACE.
OCClJPANrS SI(3NATlJRE ~ LJ-~( Crl0pA /
DATE (0 -1/ -';100:2. ~HONE
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD
q-")'g-02 ~