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ACCOUNT #
. ()o /<R7/o0 /
..5IS3 Hope gr
ADDRES~
OLD METER
NEW METER
Ser. No
~?s o~~7 ~
Ser, No
1/7030087
Digits'
Reg, No.
lf3 0 7~o / Size Slf- 't .14'
J~ 8~Lc
00 357 )J~, /
Reading
MIU Ser. No
MIU Phone #
Bldg. Type :
Port 1
?
RPZ Installed Yes _ No _
RPZSer. No
Service Size
"0 Type
Ground Yes _ No _
Lead Copper
11 t7. It" haS e
Iron Pip'"
ble~_1 11'fJ1tt"T: 6
COMMENTS:
Sntl4-JI
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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 contact the Water Department during
normalworking hours. Thank you for your cOQperation.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURF
DATE
Form 90080 (4-931
PHONF
Copy 2 WS
Copy3&4WD
Copy 1 Customer
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