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ACCOUNT # ()() g. ~1o D7J :x
ADDRE$S~OO () re,.." C-r Se:
::. MIU Phone#,-"-
. . Bldg. Type:
Port 1
2
F\PZ Installed Yes _ No -.
RPZ Ser. No.
Service Size
, Ground Yes k-
Comments: by
"16 Type
Lead_ coppe~ Iron Pipe_
tJk
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 coop ation.
INSTALLATION ACCEPTABl.E. WP\
OCCUPANT'S SIGNATURE
DATE.-JQII~ A~ .
From 9&80 (4-911 C()py' Customer ,
PHONE
CoPY 2WS
eopy 3 & 4 WD
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