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ADDRESS
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ACCOUNT #-.f.l)6QOgOD
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OLD METER
NEW METER
Ser. No.
77071f/O
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Ser. No.
Digits
Reading Dt?~~ /'
MIU Ser. No. 00 -;?1 ~ &f1
Reg.No.
Size
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
RPZ Ser. No.
No
Service Size
III
.
''if
Groun& _ No_
Type
leadS Iron Pipe_
Comments: ,jl'kJi:ldi. In iU- w {)}..cd fY1.-Li;l:{
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 ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE
DATE //-ZI-CJ0
.
PHONE
Copy 2 WS
From 90080 (4-93)
Copy 1 Customer
Copy3&4WD