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ACCOUNT # 00/J7.Y tfb X
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ADDRESS Ib4~x 1-r6-~~ .,i0 5[;;
Ser. No.
OLD METER
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'2-5'1-/2A J /
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NEW METER
. MIU Phone#
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Bldg. Type:
. RPZ Installed Yes
No
Port 1
RPZSer. No.
2
Service Size
. GrOUndYeS~p_
''t . Type
Lead_ copper~ Iron Pipe_ .
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Comments: . p, I
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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.
INSTAlLATI. ON ACO... ~PTA~pR ~.T.~.'. SE............-. 0'.. E IN PLACE
OCCUPANT'S. SIGNATURE '. . . . .: .
DATE / cJ/~'VIo';; PHONE . . .
From 90080 (4-93)
Copy l'pustomer
Copy 2 WS
Copy3&4WD
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