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ACCOUNT#. 00 33:S70~
ADDRESS Ib89.'1WI LLoW t.~Hc
So F 10
5W
Ser. No.
4::J. <<-[j 51>3 s
Ser. No.
NEW METER..
/
"1 ~ (otfi3<6
OLD METER
Reg.No.
Size ~/~ (I
J
J
MIU Phone#"
Bldg. Type:
Port 1
2
RPZ Installed Yes _ No _
RPZ Ser. No.
Service Size
Gro~nd Yes --0Jo_
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Comments:
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1
Please keep this Jeceipt foryour records. The.final reading from your old water mefer
will be used in determining your n,"Jxt regular bill.
If you have any questions or problems, pleaseeontact the Water. Department during
normal working hours. Thank you for your cooperation.
INSTALLATION ACCEPtABLE. WA"~;M}J'~~SEALWlRI; IN PLACE.
7 It./':/ ./
OCCUPANT'S S!~ATURE. ~/ .....i-..j.;l . '_ .
DATE 1012 I; 0;< . PHO~E .
From 90080(4-93)
q J'? 0 J. (-",...-I
Copy 1 Customer
Copy 2WS
Copy3&4WD