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. ACCOUNT # g5(, ~ 00
ADDRESS ,\Lj~l) (ri~h ( Cr.
/D
OLD METER
NEW METER
Ser. No.
4310:2 ~/7
/
Ser. No. / fl.-I t~'-l77
I
7/~'(
/ ...
Reg.No.
Size
MIU Ser. No.
..-
'~
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
~N~S~ ~
Type
Lead_ Copper-A Iron Pipe_
Ground Yes f No_
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 ACCEPT,;a.~. WATERJ"ET~, ','. AL WIRE IN PLACE.
OCCUPANTS !'IGNATURE j~ v,.-j J
DATE 3/ () ~,'-3 PHONE 9(;.) -~! L/7. l. '-119
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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