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ACCOUNT #
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J(:1.l1J
ADDRESS
OLD METER
Ser. No.
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Digits
yJ 2!}.Lo .x
Reading
MIU Ser. No. 00 5~.~"f'<fL/
MIU Phone#
Bldg. Type:
RPZ Installed Yes No
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Ground Yes ~_
Comments:
~'12'60
-,70 51: $LJ
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NEW METER
/
Ser. No. ??Li'<'7
Reg.No.
Size---.5/cP' //
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Port 1
2
RPZ Ser. No.
Type
Lead_ copper0on Pipe_
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 METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE ~ R. &.,~
DATE /2 - 2 - 0'2-' PHONE qc:::~-f.J t!-1J-1tJi.3
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy 3 & 4 WD
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