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ADDRESS
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. W J U/2W L4-Nb.. S.W
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NEW METER
ACCOUNT #
OLD METER
Digits
Reading-o q 8' 'f rnO /
QO ~~Cf II S
J
Ser, No, "77..0 2 9 g-9 I
Reg.No. /
Size S/'k)< 3)" 10
ser.No.~355'-1 ~3<!
MIU Ser, No.
MIU Phone#
,
I
t
l
Bldg, Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Ground Yes .:i. No_
''% Type
Lead_ copper~ Iron Pipe___
Service Size
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~ 'ATE~~. L. WIRE IN. PLA.CE".
OCCUPANTS SIGNATURE 0!9 . ~ ..
DATE 10-'1-;2002 j .PH }Jy7_L~3L
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD