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v ACCOUNT # id
] ::;c;/ 1301<;qf/Y1
ADDRESS
)-1 5!t/
OLD METER
NEW METER
Ser. No.
~877fR 7~1
Ser. No.
~ 70fJ.. cr 7<6 '/
/
Sj~ I tf 641
Digits
Reg.No.
111~1f/'O I Size
(J o1fCf 1'i'C( /
Readinp
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size '~
Ground Yes ><No_
Type
Lead_ copper~n Pipe_
Comments:
~
Please keep this receipt for your records. The final reading from your old water meter
will be used in determining your nel(t regular bill.
If you have any questions or problems, please contact the Water Department during
normal working hours, Thank you for your cooperation.
INSTALLATION ACCEPTAB,lJ. '!'!tT.~ 7.IR. ~fER. S SEE~A!rf! ,IRE}N_r_lJ\GE.
OCCUPANT'S SIGNATURE~ 1 ~
DATE C\~ ~O/6~-~PH~NE q.Lf?J - Lt err; ~
\ '
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD