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ACCOUNT #
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ADDRESS
OLD METER
NEW METER
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Ser. No. .-S 2- 0 4-6 D ""3 3 Ser. No.
Digits
Reading (?J9O,t 40 ~
Reg.No.
Size ~I / 'fa rJ -< 1.1 ~~
V
MIU Sar. No.. 0 0 ~3
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
''t Type
Ground Yes No_ Lead_ Copper_ Iron Pipe_
Comments: /IJ/7h LI lJ) TU
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 ACCEP;A~~~' A.TE R M,ETER, SEAL ~IRE IN PLACE.
OCCUPANTS SIGNATuRE --.', ~' ,{ 0, l __Ie,:'. . \
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DATE / - / 7 -1"5 --; PHONE
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From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD