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ACCOUf\IT #-.f}() & / L/ L( 00 x 'DR 1JP11{/vl 7- + "
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ADDRESS / 7!k;? 1J1.1~1 lid ,fA U6
OLD Mt ItR NEW METER.
Ser. No.
/
Ser. No. '7?ct<;';.,~0
Digits ' , Reg.No.
~~<Q~CD ~~f') v\ SIzB-tIh>~rr"'l7&
MIUSer. No. fP::) 54-I, Z/ i)
MIU Phone#
Bldg. Type:
RPZ Installed Yes _ No _
. Port 1
2
RPZ Ser. No.
Service Size
Ground Yes _ No_
, "Ii lYpe
Lead_ Copper_ Iron Plpe_
Comments:
. if//7/03
Please keep this receipt for your records. The final reading from your old water meter
wID be used In detennlnlng your next regular bill.
.; you have any quesUons or problems, please contact the Water Department during
nonna' working hours. Thank you for your ........araUon.
INSTALLATION ACCEPTABLE. WATER Mt ItR SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE
DATE L/' 1--6,,)
From 90080 (4-IJ3) Copy 1 Customer
PHONE
Copy 2 WS
Copy3&4WD