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ADDRES~
OLD METER
NEW METER
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Ser. No 770 '1-7Co Ir /
Ground Yes _ No -
COMMENTS: hy "~+t:.r
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
l' normal working hours. Thank you for your cOQperation.
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'Digits
Reg. No.
size[fzX y~
Reading
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MIU Ser. Nfl
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MIU Phone #
Bldg. Type :
Port 1
RPZ Installed Yes _ No -
RPZSer. No
Service Size
"0 Type
lead
Copper
DATE -"'1 t/
Form 90080 c!-931 '
INSTALLATION ACCEPTAB E. WAT METE~ SEAL WIRE IN PLACE.
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OCCUPANT'S SIGNATURE
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Copy 1 Customer Copy 2 WS
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Iron Pipp
Copy 3 &4WD
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