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ADDRES~SJ:~- l kwtJdfJltL M) 6A- sU
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OLD METER
NEW METER
Ser. No. 313 t.f G;). $5
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Ser. No. 1'7 Lf tj',-/;l~..,
Digits Reg.No.
Readifl[l ~O'6o;sD J\ Size S-/'X'
MIU Ser. No. OO$J;l..V-t J. Q. j ~
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
"~ Type
Gro4t1d Yes _ No_
Lead_ Copper_ Iron Pipe_
Comments: II/Ifill Jiz;{'~ 41JJ/uJlL rU1 nl1~ -J/
j J} J lill') f?77ft.- u
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Please keep this receipUor your records. The final reading from your old water meter
will be used in determjoing your;; next regujar,DilL ,
If yp.,.'have any questions or problems, please contact the Wat~{ Deoartm~f1tidJJrJng
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: ~olrna wor I~g, ours. rap f;OU or rO~?foop:eratlOn. ''\ '
'j . INSTALLATION ACCEPTABL~. WATERi"'ETER S~L 1RE IN PlACE.
OCCUPANT'S SIGNATURE ~-)o.J I", , J/'~ (~l1J
.. (i /, ,r I " i .----' /./'
DATE 2- 2 0 - 0 :s ii". ' PHONE? ( 2 - <.L 1.10 -:-/fo33
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD