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ACCOUNT #
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ADDRESS
OLD METER
NEW METER.
Ser. No.
Set. No. "79.,11 f 3:31-
Digits,.'.
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Reg.No.
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Size 4 A/t!!.O I ~n~
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00_ '57 <20 a /)
Readlnp
OOC1.O 1_ 1'0
MIUSer. No.
MIU Phonal
Bldg. Type:
RPZ Installed Yes _ No _
'Port 1
2
RPZ Ser. No.
Service Size
-J1I lYpe
Ground Yes ----'- No_
Lead_ Copper_ Iron Pipe_
Comments:
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Please keep this receipt for your records. The final reading from your old water meter
will be used In determining your next regular bill.
,; you have any quesUons or problems, please contact Ole Water Department during
normal working hours. Thank you for your cooperaUon.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE
DATE t::, - P'.5 r G J
From 80000 (4-113) Copy 1 Cuslomer
PHONE
Copy 2 WS
Copy3&4WD