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ACCOUNT #
X 171 ;2 (j 0
"-,
I (p LfCf q IV (1 v1- 4 tf/(Jfj r of
ADDRESS
OLD METER NEW METER
, J
Ser. No.~ ,7 4702 2ser. No. 77(,J.'d. ~'1)
Digits Reg.No.
Reading 7)~polrx.~ire >/9 (6 Gd I
MIUSer.No. ')7n n 7
MIU Phone#
Bldg. Type:
2
Port 1
RPZ Installed Yes No
RPZ Ser. No.
Service Size ~
Ground Yes~_
Type
Lead_ coppd'ron Pipe_
COO1ments:
Please keep this receipt for your records. The final reading from your old water meter
will be used in determining your next regular bill.
If you have any questions or problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTAUATION ACCEPTABLE.f1r"ERMETE~... 'EA~;RE I.N PLACE. /'
OCCUPANrs SIGNATURE L .---z PI .---------
DATE 't - 2 ~ ./ 0 rz, PH~ - - 't7fJ tJ
From 90080 (4-93) Copy 1 CG'stomer Copy 2 WS Copy 3 & 4 WD