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ACCOUNT #
57t/&3
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ADDRESS
OLD Me I eR
NEW Mt: I t:R.
Sera No.
Sef.No.~7~f3Wo7
. ,
Digits.
Reg.No.
Size 5~ ( ~.
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..
..
J
Readlnp
MIU Sera No.5, 300 /7
MIU Phone#
Bldg. "Jype:
. Port 1
2
RPZ Installed Yes _ No _
/11
RPZ Sera No.
Service Size
Groune- No_ .
. N/if
"Jype
Lead~ Iron Plpe_
Comments:
. 4/ / Jim
Please keep this receipt for your records. The final reading from your old water meter
win be used In detennlnlng your next regular bill.
I; you have any quesUons or problems, please contact the Water Department during
nonnal working hours. Thank you for your cooperaUon.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE
DATE 5'~ ~ - 0 Y . PHONE
From llOOllO (4-93) Copy 1 Cll8lomer Copy 2 WS
Copy3&4WD