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ACCOUNT # 3-J1$D '0
ADDRESS~~)LZJD
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OLD METER
NEW Mclt:.R
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Ser. No. 54 t, <i99 \ 3>
Ser. No.~7 0 2-0J!:J.& D
Digits /.
ReadinQ 117~ 7- -=ilD
MIU Ser. No.3 ,c,c; ?L/ .
,
Reg.No.
Size ~1Ly.
LVc....l.
, J
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
''jf
Type
Lead_ copper~ron Pipe_
Ground Yes ~NO_
Comments:
"
Please keep this receipt for your records. The final reading from your old watetmeter
will be used in determining your next regular bill.
If you have any questions or problems, please contact the Wat~r Department during
nooma' wo...ng hou",. Thank you ~..u, ~ope."'.on. '>..
INSTALLATION ACCEPTA ~~ M~~,{."IRE IN PLACE.
OCCUPAN....'S'~~GNATURE-'^ ' . Oy~___
DATE 11J_~~ PHONE
From 9~ 93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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