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ADDRESS / 5J.l./-f J(~tJtjLJ. ti/z; .t?cLftuJ
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OLD METER NEW METER
Ser. No.
V
Ser. NO.I! () 7-f/-73
Digits
Readina
v<.
Reg.No.
.1)
Size ~ N~p/u/!e
MIU Ser. No.
0054-(,/1-7
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
''Jf
Type
Ground Yes
No_
Lead_ Copper_ Iron Pipe_
Comments:
p )U<- A:2/& /od.-
Please keep this receipt for your recor<;ls. The final reading from your Old water meter
will be usecUn determining your next regular bOI.' .
If you have any questions or problems, please-contact the Water Department during
normal working hours. Thank you for your Cooperation.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
j,... , .... ~ .
OCCUPANT'S -SIGNATURE
DATE 12-/8-0 C
J
From 90080 (4-93) Copy 1 Customer
PHONE
Copy 2 WS
Copy3&4WD