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ACCOUNT # ~-:' i) -;r
./+J2 I';L ll.-J j.p~\ ~'1J T v
OLD METER 6' vO 5 -! v o~
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57R if 9 ~} ') Ser. No. ./
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ADDRESS
NEW METER
Ser. No.
Digits
Reg.No.
Size ~/g (()O()brf
Readina
d.-'1rr;:ff'J\
~q~crcs
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No RPZ Ser. No.
Service Size "~ Type
Gr~und Yes ~NO_ Lead_ Copp~lron 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 pr em. please contact the Water Department during
normal working hours. Thank ou for your cooperation.
INSTALLATION ACC PTABLI:. wtTE. R ME~ ~~:;:'IN PLACE
OCCUPANTS SIGNATU '\....// 5'J~ /!.{t" i~_
DATE ? - ~ -fJ'1 PHONE If ~-{p c.I- 4-1
c/py 1 Customer COpy 2 WS Copy 3 & 4 WD '
,
From 90080 (4-93)
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