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5<70 D'" " ~
AC~OUNT# & 1500 ,)( ( &)
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ADDRESS .! 4:-1;;2 0 A ),'J-PV'o Av
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OLD METER /( I~ A /5
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1JLf54-df,17 se~.No. /
(
Digits Reg No
Readine -:2;;Z J} iff -<- SiZ~ 5/ fS/()(}O Gu )
_r;-~7 s;2 ~
NEW METER
Ser. No.
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
Ground Yes RN'o_
''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 ACCEPTA~~. WAT
OCCUPANTS SIGNATURIf'IV \ .
I
DATE f' - 7-- () '1
From 90080 (4-93) Cop!1 Customer
ACE.
PHQ.NE Y-CJ (;;-)/ &7
Copy 2 WS Copy 3 & 4 WD