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ACCOUNT # /1<A~() t) Y'
ADDRESS ./S-D'f D b,-..~ (Ja. k- r I r.
OLD METeR
NEW METER
Ser. No.3 ~ ~sti le <;; L-
Digits ~./
Readinp}..fo 2--;; i;t> ^,
J
ser.,No.Lf ~~ ~
Reg.No. k
~ ,/
Size / .Ja
I v
MIU Ser. No.
_~J) (,,/ 0 ~
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
Groun(j Yes f No_
''ff
Type
Lead_ Copper-f- 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.
INSTALtJ\TION ACCEPTABL:;;ER M~ER SEAL WIFI1! IN ptJ\CE.
OCCUPANT;/, SI4NATURE I' fA. j" J: f7.d:1d ~ _ ,>J~ j
DATE I IlL-II D ~ PHONE j
From 90080 (4~93) J Copy 1 Customer Copy 2 WS Copy 3 & 4 WD