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ADDRESS ~
OLD ME~~\ \
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5[
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NEW METER
Ser. No.
J1)y 171,
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Ser. No'_ WJ ~, S g'f "1
Digits
{Reg.No.
o Z ~v ;l)" (]T::) Size
I 1 I
S~ 1 9 V8
I
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/1 T"- I~
Readino
MIU Ser..No.
MIU Phone#
Bldg. Type:
Port 1
"
2
RPZ Installed Yes --'- No _
If If
, '2..
RPZ Ser. No.
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Service Size
''if
Type
Lead_ copperA Iron Pipe_
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Ground Yes --J!......NO-
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 ACCEPTABq',~TER MtE~ SEAL WIRE IN PLACE.
OCCUPANrS SIGNATURE U Lv-1 7/ '---
DATE S (> , lo '3> PHO~E Lllf 7- ~ \\ 1.10
From 90080 (4-93) , Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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