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ACCOUNT~ ""oo;~;;)oo ;' . ~;,~
ADDRESS .Ivq~g /)/rdf'Vn~ 55 Tr }0 ..,.
OLD METER
NEW METER
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Sar. No. g9t)I<i.CJF1 . "Ser. No. S-;) 0 I ~I f9'
Digits .' Reg No
-g<J"1 tfLfg'o 7( SiZ~ ;(f I dO () ~ {
MIU Ser. No. 0 (J/1~' )' }- tj j
MIU Phone#
Bldg. Type:
Port 1
2
RPZ"lnstalled. Yes _ No -"--
RPZSer. .No.
Service Size
Ground Yes ~o_
"i! Type
Lead~ copper~on pipe~ -
Comments:
Please keep this receipt for your records. The final reading from your old water meter
wiH 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. '
INSTAL':ATION ACCEPTA(iL. E'~Ar~~.< M~: SEAljRE INPLA. CEo
OCCUPANT.'S SIGNATURE. ~Jla-'A' .~~ j
DATE PHONE Q6;}, ill.{ ()-{P9Y).-
Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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