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ADDRES~
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OLD'METER
NEW METER
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Ser. No
Digits
Reg. No.
Reading
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Size
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MIU Ser. No
I)(), 1;"' ~ 8'1 7
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MIU Phone #
Bldg. Type :
Port 1
?
RPZ Installed Yes _ No _
RPZSer. No
Service Size
Ground Yes KNO _
"0' Type
,F
Copper X Iror} Pipp
Lead'
COMMENTS'
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 WaterOepartment during
normal.working hours. Thank you for your cooperation.
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INSTALLATION ACCEPTABLE. WATER METER SEAl,WIRE IN PLACE.
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OCCUPANrsS.IGNATUR~. ."....,.:'\.. ,~_
DATE q~fJIO~ PHONE~"~J~~~'
Form 90080 (4-93) Copy 1 Customer 'Copy 2 WS Copy 3 & 4 WD
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