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ACCOUNT # , ~tf'l~u
ADDRESC: h '1116- CIS tlllo Y s J- pJe:-
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OLD METER'
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NEW METE~
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hr. No.
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D Size
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MIU Sar; No
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MIU Phone #
Bldg. Type:
Port 1
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RPZ Installed Yes _ No -
RPZSer. N"
Service Size
, Ground Yes X No -
COMMENTS'
"0 Type
lead
Copper -K.....lron Pipp
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Please keep this receipt for your records. The final reading fr your old water meter
will be used in determining your next regular bill.
If you have any questions or problems, please co tact th ater Department during
nar~l.warkin~ours:!han~...Y..OU 'a ur co ~ rati:...- _ _ _ _ _ -'-'_ .,
INSTALLATION ACCEPT. LEo A MET SEAL WIRE.lACE'l
OCCUPANT'S SIGNATURE ~ r U //7 ..",1
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