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ADDRESS
'1-77100 \/
) 'f ~ 0 So r ,'" r 61 ~'-\ ~7'V
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NEW METER
(j)
ACCOUNT #
OLD METER
Ser. No.
/- ~,
;-tfhJ.T) ()7/ Ser.N~. /'
. ~ -
MIU Ser. No.
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f7()(P(7
Reg.No.
Size >/~/ dOO ~. (
Digits
Readinp
MIU Phone#
Bldg. Type:
Port 1 _
2
RPZ Installed Yes No
RPZ Ser. No.
~N~S~ ~
Ground Yes ~o_
Type
Lead_ Copper~ron 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 ACCEPT'ltff'f:TER M ~ER S~ IN PLACE.
OCCUPANTS SIGNATURe.,~ An!. "V .
DATE b / /1.P I a ~ PHONE l./-lf 0 .., 8) I;I-
/
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD