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ACCOUNT # XV / SI m I
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ADDRESS / ~8l./0 & f JcL ~ ~7 5~ v'
OLD METER
NEW METER
Ser. No.
2C,"2.(j7/.s9 /
Ser. No.7"1D 7 /0/ ~ I
Digits
Reg.No.
Aead!na '2 9 () q I t::> I size~ )( %
MIU Ser. No. Q 0..'3 t, S 50tf I
AJfPTU}Jt: /
Bldg. Type:'
Port 1
y41
2
,MIU Phone#
RP.z Installed Yes No RPZ Ser. No.
Service Size~. ~ Type
,.. Ground Yes ~ No_ Lead_ Copper_ Iron Pipe_
Comments: (J(L,J(Od j /J11;t ~ <>f J~
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Please keep this receipt for your recon~t 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. \_'
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INSTALLATION ACCEPTABLE. WAT~ METER SEAL WIRE:1N PLACE.
OCCUPANTS SIGNATURE J:r ~.~ /(
DATE I'/1-'1/6Z V. PHONE (;;d~-dOS(j 1-
From 900ac!(4-93) I Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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