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1\Ir l'lJ Installation. Request F VUil
Date
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Time
ACCOWlt Nmne (II 7miFJ r:J{)/JU't~h 1/ tl}rU<)/
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Addr~ L(t}V3 /&OCIJ Sf Ale
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ACCOWlt #
Meter size
Meter SIN
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MTU#
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ACCOUNT tl;Drll}(p / eO Cfk. (!aaut ../'
ADDRESS LIe; t/ 3 3-1.aM.$ -c- IJ t
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OLD METER
NEW Me leR.
Ser. No.
V
Ser. No.--Z77~ a, r 7 ~
Digits
Reg.No. _ .
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size~J ~/t11 ~/~
Readino
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MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes _ No _
RPZ Ser. No.
Service Size
. ''11 Type
Ground Yes _ No_
lead_ Copper_ Iron Plpe_
Comments: (!Jmtar:;t w a~i/' ~7Alu-hLf
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Please keep this receipt for your records. The final reading from your oid water meter
will be used In determining your next regular bill.
I; 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.
OCCUPANT'S SIGNATURE
DATE 7-/b- D--;
. PHONE
Copy 2 WS
Copy3&4WD
From 90080 (4-93)
Copy 1 Customer