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ACCOUNT # v( 4-';;( >I ~ () tJ ,3
10 t.f-U- I 70 f~ ~tSU/
OLD METER N.4 G LA ~ ) 1([; () NEW METER
ADDRESS
Ser. No.
r.;O 7 I"? or 00
~
/
Ser. No.
Digits
Reg.No.
r; ) ~BC?O v\ Size -Q e 100 /J bu I
~ r:;;+ ct 0 Lf- 7
J - -
Reading
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size
Ground Yes~o_
''if
Type
Lead_ coppek-Iron 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 problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATION ACCEPTA(} WATER METER SE. AL WIRE IN PLACE.
OCCUPANT'S SIGNATURE :X;7C~.tA_S<.- /
DATE / - <;{ .... 0 S PHONE ;);;l (; ~ '=< '1:1"
I I
From 90080 (4-93) Copy 1 Customer Copy'. 2 WS Copy 3 & 4 0
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