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11/5/03 Rrn
ACCOUNT# (1/)I:)C/f2fX) / &td:uL
~/- , ~ '
ADDRESS r5? 3&& Umut /l.1.<2:t fJr.dI1 Nu.J
OLD METER
NEW METER
Ser. No.
J'
Ser. No.J& WfJJ fj!/-
Digits
Reg.No.
~# -r'
Size ~ A/ r$? / tL.i~~ '
Readina 00t) t)O J C)
MIU Ser. No.
/
J
O().t) 4. !o 334-
- I
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
RPZ Ser. No.
No
Service Size
''ff
Type
Ground Yes
Lead_ Copper_ Iron Pipe_
No_
Comments: fLL.uJ ~
Plu '//4/113
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.
lNSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE
DATE /-/5'--65
PHONE
Copy 2 WS
Copy3&4WD
From 90080 (4.93)
Copy 1 Customer
'-