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ADDRESS /I(Ij[(J !(L/1tj:biJ/,sf fit;:' 0020J8cJo I
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fEWiMETER
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1718t/zzz
OLD METER
Ser. No,
z5])h zS'37
Ser. No.
Digits
ReadingltzjlZ30 X
l
. MIU Ser. NO.~~ t./4I.. 3'
Reg.No.
size3'tJ Al,J:>-(
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
Service Size ~II
RPZ Ser. No.
Ground Yes
No_
''t Type
Lead_ copper~ Iron Pipe_
Comments: (l,( [1 o!.L t.Jh 1-/ 4.(jy /JUiI/ ()1(l~fl.~.
Out - ~y; i2.;J //0/ZeJ!.J. !:! nLL< U/t.LeJ0
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Please keep 'his receipt for your records. The final reading from your old \Jitt/rit> )
will be used in determining your next regular bill.
If you have any questions or problems, please contact th,e ter Depar,tment during
normal working hours. Thank you for your cooperb-tion.! .
,
INSTALLATION ACCEPTA~. WAT"l1 t4ETE\ '.' EAL ,WIRE IN PLACE.
OCCUPANTS SIGNATURE \~ it ~ ~ -vI'
DATE 2 -21-f);3 PHONE
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy 3 & 4 WD