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ADDRESS~j
OLD METER
ACCOUNT It --ec: '2 ~~
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NEW METER
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Ser. No. r o:};J70'c- Cc -..,/
Reg. No.
SiZ.~ j4(
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353 %2
,jAIU Ser. No.
MIU Phone #
Bldg. Type :
Port 1
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RPZ Installed Yes _ No _
RPZSer. No.
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Service Size
..(/) Type
Ground Yes - No i
COMMENTS: . \.. \ ,.,
11\ "/v ~ '-
Leart
Copper * Iron Pip'"
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Please keep this receipt for your records. The final reading tfom your old water meter
will be used in determining your next regular bill. ~
If you have any questions or problems, please contact the Wtitt,r Department during
normal working hours. Thank you for your coqperation.
i,ti~;>,INSTALLATION ACCEPTABLE. WATER ME"~R SEAL ~E IN PLACE.
~' UPANT'SSIGNATURJ=t:~~~~. -
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F?rm 90080 (4-93) Copy 1 Customer Copy 2 WS l~",~opy 3 & 4 WD