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, "A9COUNT It OOO? () 7 150 \V
~~DDRES~~; l~ f ;0.7) CA, VIi ~ Sf: 5E
OLOMtFER
NEW METER
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Q010M7
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58r. No
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58r. No.
Readln?
77 C;-7% 0
/Reg. No.
Size
10 Go I
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I
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Digits
MIU Ber. No
()O-S S-~ fJ{p~
~ ;
'j.'
~
MIU Phone'
Bldg. Type:
Port 1
~
,
RPZ Installed Yes _ No _
RPZSer. No
Lead
Copper
,ronA0:
Service Size
Ground Yes _ NO~
,,(/) Type
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 questionl$ or problems, please contact the Water Department ~rtAg
normal working hours. Thank you for your cOQperation.
-----------------------
INSTALLATION ACCEPTABLE. WATER Mf.(1R SEAL,' WWII~E E! INNf-A '. CEo
OCCUPANT'SSIGNATURF d-\f)~ ~,~ '
- ...
DATE (~- l" / b 1,..--
Form 90080 (~-93l Copy 1 Customer
PHO
Copy 2 WS
Copy 3 &4 wo