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ACCOUNT #
49300 ~\ L\ *- l ~
.::;; CENTERRD SW, 3009
ADD.RESS
Ser, No.
OLD METER TOBIAS, MARK , NEW METER
j
2&:l82941~ Ser. No.77~~ 4!~ (
Digits Reg.No. _ J
Reading d-.41/100'/ Size Sc+t %ii(
July Read: 186420 . /" 7 Ct' 10 q
MIU Ser. No. _'J .:> I
/r-/r-;A l
I n
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
" Service Size ''t
Ground Yes ~ No_
Type,
lead_ copper"1\ Iron Pipe_
I
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 wo(king hours. Thank you for your cooperation.
INSTALLATION ACCEPTABIf' WATER ~TER SE.Al WIRE IN PLACE.
OCCUPANTS SIGNATURE f\r~ (f~..
, --
DATE~<6~O ::>
PHONE
From 90080 (4-93) Copy 1 Customer
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Copy 2 WS
Copy3&4WD
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