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;CCOUNT # [)()c:2SC1 51XJ / Ifd.. 'C1WcJ..u.iv,
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ADDRESS
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67/()
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OLD METER
NEW METER
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Ser. No.< 5"f4f58 5SCJ .
, Ser. No.
':"'"
>Digits Reg.No.
Aeadipg, Q.{)/C2?fiO BX Size
J " 6/,. 't,
MIO"Ser. No.6€> "'; 3 ~7 4--~
MJUPhooe#
. .
Bldg~.Type:
RPZ ~nstal!ed Yes _ No _
....,. .'
Port L
2
RPZ Ser. No.
"1
...
'_S~rVlceii1e. '~ Type
,,.,.
_ GrQund Yes No_ Lead_ Copper~ Iron Pipe_
Comments: 0plfjYtJlrl ~ J~ rn1U....-
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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 <;9ntact the Water Department during
normal worl<inghours. Thank you for your cooperation.
INSTALLATION ACCEPTABlE~TE~ Mp~~ SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE @ua-- .
y
DATE 1/-; 5--:.0; ~ PHONE
.~
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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