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ADDRESS'" /5 r3/O {;)J1rJ.& Pk-wt Uw
OLD METER NEW METER
Ser~ No.6/ Ob~t!28
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Size III A/' Gi>J:.
Digits
Reading r;:orLLO /3,:1 \.
MIU Ser. No.S g:5 f}9 h
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size / / /
''1/ Type
lead ~op~ Iron Pipe_
Grour@- No_
Comments: \._~ rnnc ,~~ ~ taB
-:./1:Iie 7&!- I!J~ a r (J If ~h~ #6 l'IAA'i.hO
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Please keep this receipt for your records. The fimi~adlng 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.
OCCUPANT'S SIGNATURE
DATE5-~-O~
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PHONE
Copy 2 WS
Copy3&4WD
From 90080 (4-93)
Copy 1 Customer