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ADDRESS
DO dS 890u I
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6bd-
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ACCOUNT #
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OLD METER
NEW METER
ser.No.~1V1DtJ~/
. I
Ser. No.
1....,()-y991~ /
Readinp
0$0 -?gO /
Reg.No.
Size (Ig' )LJ./" n'O
.--) )" tl,9-,Qj j ) 05iA ,
Digits.
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
~N~S~ ~
Ground Yes ~ No_
Type
Lead_ copper~ Iron Pipe_
Comments:
t1 (7)Y'- .h,_~
,/
Please keep this receipt for your records. The final reading from your old water meter ',' Ii
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 youf,cooperation.
INSTALLATION ACC;:ZPT.. ABL WAT.ER METER SE?I)"'IRE IN PLACE. .
OCCUPANTS SIGNATUR ';///1.;/ /H ) V1 )'/J~~
. . 0- -- :"" .~- ---..... ....'._____
DATE q - 1,i - O~ , PHONE
From 90080 (4-93)
Copy 1 Customer ~,
Copy 2 WS
Copy3&4WD
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