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-ACCOUNT #
ADDRESS
5E'
OLD METER
NEW METER
Ser. NO.-/-fj f7 ~
';"
Ser. No.
77()5tJo/r/ I
Digits
Reg.No.
?!'f7? 70~iZe
OosrCfp0tf
7 O. G q I
@~?
Rea,;
MIU Ser. No.
MlUJ-Phon8#' "
\.-\ ':':.,
,
".
Bldg.1Ype:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size '~
GrOUndYe~_
Type
Lead_ CopperXlron'Pipe___
Comments:
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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 ACCEPTAB.1' ~~R MElJ'R SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE ~ .
DATE./l.y 11 v " ~
from 90080 (4-93) Copy 1 Customer
'PHi3It?#M,f.~-i5J r
Copy 2 WS,.., Co~ 3 & 4 WD '
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----_._-._--".----- '-- ~-,-_...,