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ADDRES~ >&:/10/ LtU tV/50 I'J
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OLD METER NEW METER
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Ser. No. .-) (j I -) [') / P l,.Q Ser. No.
Digits Reg.No.
Roadina 0 ?/; 4}' In ~ \' sizoi
MIU Ser. No. if) r} .t:; ~ ~ 73 70
5 /'// <; (; -;"
MIU Phone#
Bldg. Typ~:
Port 1
2
RPZ Installed Yes
RPZ Ser. No.
No
Service Size
''1f
Type
Ground Yes
No_
Lead_ Copper_ Iron Pipe_ ;
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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.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE_~ f'\. ~
, .,J, ~
DATE. '2- - ) <)'--- (') ..,) PHONE
From 90080 (4-93)
Copy 1 Customer
Copy3&4WD
Copy 2 WS
1