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ACCOUNT # 06ft:,;2/CJCC) 1lI/.i.i:t- .
ADDRESS -\'3'3 :/~ \ fll~.14t- fJ s&
OLD METER
NEW METER.
Sere No.
Ber. No.~ () 3,:} "S 9. J ()
Digits, Reg.No.
Readl~o 0 -0 r.> ~ c> 4- 61') -/ Size i ~ II N.r, t7 J fA..n e
/
MIUSer. No. 005 7 ~ 7 -> ~
MIU Phonal
Bldg. Type:
2
. Port 1
RPZ Installed Yes _ No _
RPZ Sere No.
Service Size
"11 Type
Ground Yes ----' No_ '
Lead_ Copper_ Iron Plpe_
. ~*f
Commen~; :s
.6fc2f/[J3
Please keep this receipt for your records. The final reading from your old water meter
will be used In detennlnlng your next regular bill.
Ii you have any quesUons or problems, please contact the Water Deparbnent during
nonnal working hours. Thank you for your cooperaUon.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE
DATE ~ - 4- - b :5
From 90080 (4-93) Copy 1 Cwtomer
PHONE
Copy 2 WS
Copy3&4WD
1--
New Meter Installation Request Form
Date 0/103 /03
. ,
Time a~~ no(}y'\
AccountName~l P-tt. / ~'n..JJJ.,v
/ ,/
Address /&3J~ (lm~ fAuJ{ Ih S'{;
()()&;;;;31{X) /
Account
Meter size (;L i( If) ce:P / -t...v..J1 e
/Vj / .
MeterS/N &03/'/d.cf~ /
MTU# ~C?5"7o~~~
Check the following:tI~ (!> <!> e 100 ~~,.. 1.4 c)"'df1tj
Flow V Meter seal V Main onV
Comments
Installed by ;:: r d M ~