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ACCOUNT #
/ :52~SoD
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ADDRESS
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LUc z> J
h-.lc \L Dr.
OLD METER
NEW METER
/
ser.No.57.'S ~2~o
S~
Digits
Readin6 2Ilp70[)' /'
j~ J'
Reg.No.
{.) 'A
. lIT
Size
MIU Ser. No.
5~LI 07(;0
'T
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
''If
Type
Lead_ coppe~ Iron Pipe_
Ground Yes No_
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 ACCEPTA~~WATER ~~ER SEAL WIR~ IN PLACE.
OCCUPANT'~ SIGNIfURE d ~~1.AJ// vJ
/ J -
DATE l-' ~ ]1-; PHONE 1.. ~l.D ~ 0 '7 S7)
From 90080 (4-9:.,,)
. Copy 1 Customer
Copy 2 WS
Copy3&4WD