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ACCOUNT # 'x2-t.r4i.. ., 06
ADDRESS! If;;" 71 R VJ+J9fYs Sf-
OLD METER
NEW METER
Ser. No.
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)~, ~q7 Ser.No. ~7.:~(p~(\
q (PI ~ $ ~X:~z:NO 5/[ f i) Gal
~70 1 qq
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Digits
Reading
MIU Ser. No.
MIU Phone#
Bldg. Type:
RPZ Installed Yes -* _
Service Size
Ground Ye~o_
Port 1
2
RPZ Ser. No.
''If
Type.
Lead_ Copp~ron 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 ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE tho AM ~-\) ~ ^.. c- J\u'LJ
6 - - \.~ .
DATE-!t" J)/ 07 PHONE t.JJ.I..c,- - ~
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD