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ACCOUNT #
0"0 s'lQ 7Vo X
(j)
, .,.."..'
01/
ADDRESS
3 4 h1)
\EJ<t.lCE I \ K
TOD7L.ESGv/
,N1 ".p., L "01 .;
<;;w /.
OLD METER
NEW METER
Ser.No.~O~ \ q 17
Ser. No. 7 70~ q!79 Lf a/
Digits
Reading )~)S5 51.0 I
Reg.No. ,.
Size S\'\
It
MIU Ser. No.
O{)35q/~3./
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
Ground Yes X No_
''t Type
lead_ copper)( Iron Pipe_
.'~
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 questions or problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATION ACCEPTAB~E. W ER METER S~IRE IN PLACE.
OCCUPANT'S SIGNATURE ~ Y '"--" .,/
I I. /"..--
DATE 10 '":"5'".... ;lI'7/?2, PHONE LJij 0- LJ Cj} 1 I
. f , -
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD