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'-11/7/03. a:?i)-
- 3.'W
ACCOUNT loa? 5'7d"M ,Y ('htj () "'(U .J
ADDRE~S / L/&/lc:R 6~ r1vf./ S(
OLD MI:.II:.R
NEW METER.
Sere No. (). '3 g<{ 31 J lo
/'
Sere No.. 77'19 tf'( II
Digits.".
Readln~
Reg.No.
Size
MIU Sere No.
MIU Phone#
Bldg. Type:
RPZ Installed Yes _ No _
Service Size "/lI
,f . Port 1
2
\ ~~t~~~'
RPZ Sere No.
lYpe
.
Ground Yes No_
Lead_ Copper_ Iron Pipe_
commen~:.ilibt~ .:- QJ LOnYLLct ~ -f,V'
. ~V11m.tA: (I ~J,) () ,J ~) ~ ~. .J"
,.{~0 /y\Q'vL. .
Please keep this receipt for your records. The final reading from your old water meter
~II\ be used In determining your next regular bill.
If you have any quesUons or problems, please contact the Water Department during
normal working hours. Thank you for your cooperaUon.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE
DATE
Frvm 80080 (4-93)
Copy 1 customer
PHONE
Copy 2 WS
Copy3&4WD