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ACCOUNT #
ADDRESS
OLD METER
<<"}'~l~ I 71 .S-
Ser. No. ( J / 0
Digits
ReadinJ 1 :z ~ {' .b n/
NEW METER
J
Ser. No.7 7-6 ?.-7A ~ ~
Reg.No.
size~g
)"70 ~l""/
x J/V fr.::>
I
16 7~(
MIU Ser. No.
MIU Phoned
Bldg. Type:
RPZ Installed Yes No
Service Size ''%
Ground Yes -It No_
Comments:
Port 1
2
RPZ Ser. No.
Type
Lead_ copp~r~ 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.~,?,~,R S;AL WIRE, IN PLACE.
OCCUPANT'S J'GNATURE (-.0,' U~~
DATE '3 0~,iD ~~ fJ PHONE lJ? r;. - ~)?
From 90080 (4.{3) Copy 1 Customer Copy 2 WS Copy 3 & 4 wi