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ACCOUNT #
ADDRESS J( f tf'1 c; (
OLD METER
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Ser. No. J .J L/l) /),w )"..:
Digits
Reading
MIU Ser. No.
MIU Phone#
Bldg. Type:
RPZ Installed Ves No
Service Size ''1
Ground veki No_
Comments:
NEW METER
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Ser. No.
Reg.No.
Size ~ r lav~ (
Port 1
2
RPZ Ser. No.
Type
Lead_ CopperXtron Pipe_
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 ACCEPTABLEnWAT~RMETER SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE JVeu;{) Cu5 L.vJ'. _.
DATE .t; -Ic/,(Jl. PHONE!/!tO -~7-S
From 90080 (4.93) ~y 1 Customer Copy 2 WS Copy 3 & fWD