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ACCOUNT # Lv "/
ADDRESS X~ 7, 1
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OLD METER
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NEW METER
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Ser. No.
27{;0""3 ? 90 Se,. NoV//3g<] '-f-f 0
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Digits
Reg.No.
Readinp ~. J( Size
MIU Ser. No. :5 C; 0 ') Gfp
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MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
Ground Yes ~o~
''%
Type
Lead_ copp~ron 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.
INSTA.. LLATION AGCE. PT~l~rm.. EAL WIRE. I.N. PLACE.
OCCUPANTS SIGNATURE#.)f ~
DATE?- ~)7-01 I P~O~ It-Lf7- S-7 l,
From 90080 (4-93)
.
Copy 1 Customer
Copy 2 WS
Copy3&4WD