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ACCOUNT #
ADDRESS
OLD METER
NEW METER
Ser, No.
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Ser, No. 77 (p?'J?j r 3
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Digits
7,1t1f/:2 t-
,.,., Reg.No.
'0JlW'J< Size ~?q 1060.(
)71J 1C:;Co
Readinp
MIU Ser, No.
MIU Phone#
Bldg. Type:
Port 1
2
"
RPZ Installed Yes _ No -\
~N~S~ \ ~
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Ground Ves ~_ \
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RPZ Ser, No.
Type
lead_ CopperX'lron Pipe+-
Comments:
Please keep this receipt for your records. The final reading from your old water meter
will be used in determining your next regU~bill'
If you have any questions or problems, pie" ,contact the Water Department during
normal working hours. Thank you for your co .eration,
, #
INSTALLATION ACCEPTA~p..WATERMETER SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE U-...-. )( i.. /17 d;"~ I
DATE y.-- - ;Z ') ..-0 ~ I PHoNEtfIfo-1 Lfo~ \
From 90080 (4-93)
,
Copy 1 Customer'--
Copy3&4WD
Copy 2 WS
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