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ACCOUNT #
ADDRESS
OLD METER
Ser. No.
\of 2- 'i' '-\ <f'SZ<.-7
, '
Digits
X
.Of~~3' 70
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Readinq
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Av,<
NEW METER
/'
Ser. No. 7'7/0 'L-. z..-q '2-.'1
Reg.No.
Size ('11(' 'f..... ') (y
I .....
Pro
MIU Ser. No.
<)'0 ~o-,
\ ~ C:} ~ ,
MIU Phone#
Bldg. Type:
RPZ Installed Yes No
Service Size ''If
Ground Y~ No_
Comments:
Port 1
2
RPZ Ser. No.
Type
lead_ Copper 0( Iron Pipe_
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. WATE M ER ~JL WIRE I~ PLACE.
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OCCUPANTS SIGNATURE ?/ /' / '7///J.,.! -~ / // /
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DATE j /, c:-- I () '\ . PHONE ,/ '-\ y 0 ~ "2" ~
From 9orlo (4-93) , """(;PY 1 Customer Copy 2 WS Copy 3 & 4 WD