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ACCOUNH CSD L- ~ t' g dO I
ADDRESco I v\3l-!1 Uk5 c~ ~ -+,
O~M~ffi N~M~~
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Ser. No.
1- Y7 'f ~ tf6?
/
770 ~ ~ >-z..-
Ser. No
Reading
o;rJ0b16 /
I
Reg. No.
Size 5. Jg ~ ~/..p
VIQ
I 0 7~(
DigitI'"
MIU Ser. Nr,
~S'g q ~D
@)f\~
/)UXJ/~ .p::u, IJYl
Vorv:' "9/lo!Od-.-
~aL CJ 117 /t}.;2..
?
Port 1
MIU Phone #
Bldg. Type:
RPZ Installed Yes _ No -
RPZSer. No.
Service Size
Ground Yes i. No -
,,(/) Type
Lead
Copper ~ Iron Pipp
COMMENTS:
Please keep this receiptforyour 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 cOQperation.
-----------------------
INSTALLATION ACCE~. WATER 7..::r: IN PLACE.
OCCUPANT'S SIGNATURF WQ-1--,c.. - . -
c...-a
DATE 9/ \0'" 01... . PHONF,~6""~1
Form 90080 (4-931 Copy 1 Customer Copy 2 WS Copy 3 & 4 WD