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ACCOUNT #
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ADDRESS
OLD METER
NEW METER
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Ser. No.
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s-q t/Sg S-SS- Ser. No.
Digits
Reg.No.
~2J3.Y \ Size 5/s1 10 bq I
S 70 :2. fp 9
Readina
MIU Ser. No.
'\. MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
,
No
RPZ Ser. No.
Service Size
Ground Yes 2(No_
''If
Type
Lead_ CopperXlron Pipe_
Comments:
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.
OCCUPANTS SIGNATURE ~I)< .... ~ . (c'~,..Q/V\
DATE )" r; - 03 PHONE.$7-- 4-10)
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD