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ACCOUNT #_
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ADDRESS
OLD METER
NeW METER
Ser. No.
/
5~7~ t;(,,9:J.1J7I Ser. No.
&A.
Digits
Reg.No.
I
Reading
Q;;;e'70
Size
MIU Ser. No.---O")~~5 J 7 J
MIU Phone#
Bldg. Type:
Port 1
..~
RPZ Installed Yes _ No _
RPZ Ser. No.
Service Size
Ground Yes LNO_
''1 Type
lead_ Copper~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 hour-s. Thank you for your cooperation.
j..
INSTAllATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNAJURE-4~(/Z ~....
DATE 10 /Z//CJ 7 ..-. - PHONE!i<;2 -2ZC.-3ZQZ.
- ~~:90080 (4-/3) / Copy 1 Customer Copy 2WS Copy 3 ,~WD
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