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~OUNT #
ADDRESS
Ser. No.
OLD METER
t&1 b fd&, 1
NEW METER
Ser. No.
N /141
'/
/
/
Digits
. Reg.No.
00 3 ~fJ tJ C> v\ Size
"3 c:;q~ 9t-
Readinp
MIU Ser. No.
MIU Phone#
Btdg. Type:
Port 1
2
RPZ tnstalled Yes
No
RPZ Ser. No.
Service Size
Ground Yes -JLNO_
.'11
Type
lead_ Copper-Klron Pipe_
Comments: b)1
M~~~
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 ACCEPTABl:l'AW M9':'37EAl WIR~ PLACE.
OCCUPANTS SIGNATURE_"1~ 5 c ' f.....-~ 1(j
DATE 2:2.. 0(+ 2t5D 2- PHONE
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD