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ADDRESS~ YL/~: 5W
OLD METER CIt'" E:f<dtJ
ACCOUNT #
NEW METER
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Ser. No. J-t;;"3.<f."J1-LO _ Ser. No. J 7"lO/..{J 77
Digits / Reg.No.
Readina DCLi^I-1.czro ',' Size SA; y 3J~ /0
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MIU Ser.No.
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MIU Phone#
Bldg. Type:
I
2
Port 1
RPZ Installed Yes No RPZ Ser. No.
. Service Size "~ Type
Ground Yes _ No ~ Lead_ Copper* Iron Pipe_
Comments:
Please keep this receipt for yo.ur records. The final reading from your ~Id water meter
will be usedin'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 jPd;q14/J7l () ~
DATEJD --J ~. .-].0 () ':2.' VPHONE
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD