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ACCOUNT #JJ{)sr; /If{{) J;
ADDRESS 1'53/7 ~ Pit~ RcL.
NEW METER
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OLD METER
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Ser. No. 1)9 fJ zz ll.-
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Ser. No.
Digits
Reg.No.
ReadingrLQlJOl79. l~ J....
Jfc6'301
Size
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MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size I' , ''t Type
Ground Yes --S- Leade Iron Pipe_
Comments: _~ rnVU-- l3t:id hJJ1h/tJ/.xYmlttr
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Please ~"'I-' u rt... ,......""1-" .VI YUUI I \:I"~...I,,,_ _ _ _ LJlng trorn your 010 wa~
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
DATE fl} - 25 -0 :::>
~ .
~~b< - 3g~- J'50
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD