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ACCOUNT #
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ADDRESS
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OLD METER
NEW METER
Ser. No.
~jS)"3<60G,
Ser. No.
'19 roLl ~o'f I
Digits
Readinq
D10tfQ \ e5 I
003(o}31 ~ I
Reg.No.
Size f 1'6. II j
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
>,..~
RPZ Installed Yes
No RPZ Ser. No.
Service Size
Ground Yes Ji'NO_
''If Type
lead_ CoppecVlron Pipe_
Comments:
Please keep this receipt for your records. The final reading from your old water meter
will be used in determining your next r~gular bill.
If you have any questions or problemS, please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATION ACCEPT.~BLE. WATER . TER SEAL WIRE IN PLACE. .
OCCUPANT'S SIGNATURE . j
..,
DATE 1/- (" - o-? PHONE Cfs1-/C;(/2.. -o(~ j
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD