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ACCOUNT # 6 0) Y )1 () tJ /
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ADDRES~
OLD METER
NEW METER
Reading
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Size
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Sera No.
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Ser. No
Digits
Reg. No.
MIU Sera Nn
35~q'f C;
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MIU Phone #
Bldg. Type:
Port 1
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RPZ Installed Yes _ No -
RPZSer. No
Service Size
Ground Yes .ANo -
,,(/) Type
Leari
Copper *- Iron Pip,,"
COMMENTS'
Please keep this receipt for your records. The final reading from yourold 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.
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INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURF <~ ~ ~
DATE C( ( \(:) \ <> (3...., PHONE~,..l\l{(\... '1'4<i'~
Form 90080 (4-931 Copy t Customer Copy 2 WS Copy 3 & 4 WD
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