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Ser. No._77 I~) Vbt:::;7
Reg.No.
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ACCOUNT #
ADDRESS
OLD METER
Ser. No.
~ti-vl~l-'4
1 - .4
Digits
. ./71...../
Reading--/!2-/ > . Vir) '.
MIU Sar. No.
MIU Phone#
Bldg. Type:
RPZ Installed Yes No
Servjce Size ''1
Ground YeS~NO_
if .;.-~'~' ..,j..,.- r'''.'C .'
'",.
NEW METER /
Port 1
2
RPZ Ser. No.
Type
lead~ 'Coppe~ Iron Pipe-,--
eomments:,ry (\J 'C1~
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 contactthe Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATION AOCEPTABlE)WArEFl~ETER SEAL )l(~8E I}j PLACE.
OCCUPANT'S SIGN..4: ~~_~.... f), U ~Yc(
DATE /1)- '1.:1,,-0'2--:' -'\PHONE
From 90080 (4-93)
Copy .1(:;~tomer .
Copy 2 WS
Copy 3 & 4 WD