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ACCOUNT #
5LDDO ,/
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(~~ /D~ >
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C7D)
5-1
ADDRESS
'5D1,O
5E
OLD METER
NEW METER
Ser. No.
1-%'104(,
/
Ser. No. -;> 7 07--0( L{"'" 0
Digits
Reading---'-t Cf 2... ~ LJ D /
Reg.No.
Size ~ h ~ )
/;; <-"1 I.
'--"
MIU Ser. No.
~~St5 ~ ,
MIU Phone#
Bldg. Type:
RPZ Installed Yes No
Service Size
,
Ground Yes _ NO.:p.
Comments:
Port 1
2
RPZ Ser. No.
'~ Type
Lead_ copper::f:.lron 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 coop~ration. :
I
I
i -
INSTALLATION ACCEPTABL~. WATER METER SEAL WIRE IN PLACE.
i . r ' (( L
: ; : \ \..
OCCUPANT! SI9N~~URE
DATE /0 I rJ /1 1/
From 90080 (4.h3) I Copy 1 Customer
PHONE
Copy 2 WS
Copy3&4WD
..