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ACCOUNT #
442800
t . - --.......
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ADDRESS
OI:.D ~R, CHARITY.
~~3.3882 .J(
Digits
MIU Phone#
.Bldg. Type:
NE:W METER
Ser. No.
AJIf-
Reg.No.
RPZ Installed Yes
No RPZ Ser. No.
Port 1
2
Service Size
Ground Yes $... No_
Comments:
'~ Type
Lead_ Copper-!'- Iron Pipe_
Please keep thisreceipt 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, plelise contact the Water Department during
normal working hours. Thank you for your coo eration.
INSTALLATION ACCEPTA~:
OCCUPANT'S SIGNATUR(. ;
DATE~ ~~.... .20n "2,
From 90080 (4-93) Copy 1 Customer
I).. - 30
1- 3D
Copy 2 WS
Copy3&4WD
.1