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ACCOUNT #
Q{) () 11>-3 00
J(
I~m P"e5+ C,'r.
se.
ADDRESS
OLD METER
NEW METER
Ser. No. ~ 3J1I oD 1
./
Ser. No.-=zJJ<Y1" 05
Digits
Reading b~ {1 "-^ J
Reg.No.
~/ "
Size 'f ~ 1'.
/0 4~ f.
. (./
MIU Ser. No.
~< Zl!5?'
MIU Phone#
Bldg.Type:
Port 1
2
RPZ Installed Yes
RPZ Ser. No.
No
Service Size
Ground Yes - NO-fJ
''%
Type
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 ACCEPTABLE. WATER ME~ER SEAL WIRE IN PLACE.
OCCUPANT SIG ATURE \11~\oA,ng_(\ \~){,,-~y~
DATE O"{.,. PHONE
Copy 2 WS
Copy3&4WD
Copy 1 Customer