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ACCOUNT #
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ADDRES~
OLD METER
NEW METER
'Ser. No. ~}3 <11/7& C,
Ser. No 770 ~7 '7 g i";'
:'Diglts
Reading Cj ( '\ 1~ ';( 0
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Reg. No. _
Size </ g X ~~ \/) (0
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MIU Ser. No
MIU Phone #
Bldg. Type:
Port 1
.,
RPZ Installed Yes _ No _
RPZ.Ser. No
,/
Service Size
... Ground Yes X No -
COMMENTS: 0... ,~O \I-{
"0 Type
Copper '"
-f.-"') / \
\ . ,l(l
lead
C: 1,1-"1
Iron Pipe
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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 WaterDepartment during
normal.working hours. Thank you for your cOQperation.
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INSTAllATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATU~ l... \., fr'?' ~ cl "- \l. "--~
DATE ~.... \'3 :"0;:). PHONEQ~ 't<<1<:;-..:..~'1~
Form 90080 (4-93}
Copy 1 Customer
Copy 2 WS
Copy 3 &4WD
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