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, ACCOUNT #
ADDRESS
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OLD METER
Ser. No. "1377 b7 ~
Digits
NEW METER
j
Ser. No. 77-6)-:'2.-'1 S- 3'
10 1//1 u
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,/ Reg.No/,
Size ~ /6 )( 'J,1t
10 7'r^-\
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Reading
MIU Ser. No.
MIU Phone#
Bldg. Type:
RPZ Installed Yes No
,
Service Size
Ground Yes t..NO_
Comments:
by
Port 1
2
RPZ Ser. No.
'~ Type
Lead_ copper-1( Iron 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 ACCEPTAB~E. WATER '(lETER SEAL ~ IN PLACE.
OCCUPANTS SIGNATURE Ltf!llf\ \~
DATE r 0-- ~ -0 1-- PHONE /)
From 90080 (4-93) Copy 1 Customer Copy 2 V Copy 3 & 4 WD