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ACCOUNT # 't'l'lc;OO
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ADDRESS 5tt7C C.fO~'~-
7
OLD METER
NEW METER
Ser. No.
/
57EtJ.2.S~
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h/b
}7t
Ser. No.
Digits
Reg.No.
\
\
210/~D ~
MIU Ser. No. OOS7t)6b1
Size
-
Reading
.,
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
~w~S~ ~
Ground Yes A-
Type
Lead_ Copper----0ron 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~Lf' WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATUL~~
DATE 3/ -z. 'I / b ") PHONE is z 2. 'Z. G, Co -, ~ (p
,
From 90080 (4-93)
Copy 2 WS
Copy 3 & 4 WD
Copy 1 Customer
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