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ACCOUNT #. ()6~ / hgm
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ADDRESS
3f67 RLcyd flvJa..A/uJ
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CiD METER '-Jjiu~
NEW METER
Ser. No.
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Ser.No. ~6 3/~sJl
Digits
Reg.No:
Size ~l-/ <>> ep-r'.. dB
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Readinp
t/OO ~ 9 7 ()CJ J
MIU Ser. No. 00,57 ~;t7~
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes _ No _
RPZ Ser. No.
Service Size_ ''% Type
Ground Yes No_ Lead_ Copper_ Iron Pipe_
Comments: Alo t:J t!> j f) ~ -ll\/7.e-
,ill 5/57C0
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.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANrs SIGNATURE
DATE t.,." J / <oJ C -'
, PHONE
Copy 2 WS
Copy3&4WD
From 90080 (4-93)
Copy 1 Customer