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ACCOUNT It ((JfJi.FL1. 'tOO
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OLD METER
NEW METER
Ser. No.
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Ser. No.
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Reg. No.
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Size
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1
MIU Ser. Nn
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MIU Phone #
Bldg. Type:
Port 1
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;1
RPZ Installed Yes _ No -
RPZSer. Nn
Service Size
Ground Yes _ No Y
,,(/) Type
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lead
Copper X Iron Pipp
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 Water Department during
normal working hours. Thank you for your cOQperation.
1
-----------------------
INSTAllATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANT'SSIGNATUREY~ /0,~___
DATE 9-// - Dr-. PHONF f.>-'; -W;1-')//,s'(
Form 90080 (4-931
Copy 1 Customer
Copy 2 WS
Copy3&4WD
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