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ACCOUNT #
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&20(n Pfey-r;.e(~ Lt\ SE
ADDRESS
OLD METER
NEW METER
Ser. No. )""'q;);l:( Ip q...~ l Ser. No.
Digits
Reg.No.' /'
S-A
00 J;cr I fC(.!
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Readinp
tJ0120s~( I
Size
MfG.Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
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No
RPZ Ser. No.
Service Size
Ground Yes 1::' No_
''1 Type'
Lead_ copper~on Pipe_ .
Comments:
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, Please keep this receipt for your records. The final rea~ur 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. T'ank you for your cooperation.
'*
INSTALLATION ACCEp,.TABL.E. w. ~TrJ:., ~E E~ s~ W, IRE IN PLACE.
OCCUPANTS SIGNATURE .{.J.- t;; ~.
DATE-1-',f&.. 01K .,... PHONE If-tf 0-)) 11
From 90080 (4'-93) Copy 1Cuslomer Copy 2 WSCopy 3 & 4 WD
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