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" ~~",t' I I ..\ I -;.l_..,.~...,~ ,a \1 J/!!!P'f" ..- "'10 rJ).................'........ '.", ' . , ,:. ACCOUNT It Or) ,iPJ /) I dO ../ q,{'t;) P/~ot;a~7 91 5t. - ADDRESP OLD METER NEW METER Ser. No. lfl c; ~ ./ Ser.No. 7?(J;2 q1)1- Digits Readlng_;L ~ 1Lf2..l) Reg. No. Size II) t;q/ (j)1P gl:j MIU Ser. No t1d5r;-lftJ7(J MIU Phone" Bldg. Type : Port 1 :> RPZ Installed Yes _ No _ RPZSer. No Service Size Ground Yes _ No ~ ,,(/) Type Leart Copper Klron Pipp COMMENTS: - - - - - - - - - - - - - - - - - - -, - - -- INSTALLATION ACCEPTAB~R MET~L ~IRE IN PLACE. OCCUPANT'S SIGNATURE . . ~ . DATE 9 .../,~ - () PHO~~..;~..+'.~.[?":"~p..7 Copy 2 ws Form 90080 (4-93) Copy 1 Customer Copy3&4WD ....1.... '..~, , i