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ACCOUNT #
OQ3;;).. 7 ~QD V\
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ADDRESS I b801? kJII.-L@) t./tNF c:;-W.;'
OLD METER /Vl Ve U~K'; NEW METER
Ser. NO._~ () -1'5 ~67 7
Digits
Ser.No. 7702q!}~~
Reg.No. / . .
Reading I? ~q 3$ 0 /
D03:>9'J.. 7S I
Size
5 /~ 'I 3JLf /0
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No RPZ Ser. No.
Service Size '~ Type
Ground Yes XNO_ Lead_ Copper X 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.
INSTALLATJON ACCEPTABLE. WATER METER SEAL WI~E YYCE.
OCCUPANTS SIGNATURE (~~/~~ ..;
DATE /0 - C::-~.:JOCJ ~ PHONE
- . -
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD