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ACCOUNT# O{)lcf1rfaJ (I~ Jjlrrf.f-
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ADDRESS Lf03 f./ I1..IJf1ntJ.-Jp.. u. r- Ub
OLD Mt: I t:R
NEW METER
Ser. No.
29241./0Q4.
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ser.No.''I89/.?1~
Digits . /
Readi~p, S.~/ 0 ^
MIUSer.No. ,~50CJ/~
Reg.No.
Size / II hi/-r
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes _ No _
Service Size J 1/
Groue- ~o_.
RPZ Ser. No.
"11 Type
Lead~ Iron PIpe_
Comments: dnd1A cJzr~ (N..:;t ~ m~
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Please keep this receipt for your records. The final reading from your 0
will be used In determining your next regular bill.
Ii you have any questions or problems, please contact the Water Dep
normal working hours. Thank you for your cooperation.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANrs SIGNATURE
DATEs/df) ~
From 90080 {4-93) I .. ~ Copy 1 Customer
PHONE
Copy 2 WS
Copy3&4WD