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ADDRESS
ACCOUNT #
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OLD METER
NEW METER
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Ser. No. 77 D J (:Q::? , /"
Ser. No.
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dDigits
'0 <1~07 D-:;
Size
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Reading
MIU Ser. No.
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MIU Phonei#
-131dg. Type:
Port 1
2
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RPZ Installed Yes _ No -
RPZSer. No.
Service Size
Ground Yes ANO -
,,(/) Type
lead_ Copper
Iron Pipe_
COMMENTS:
Please keep this receipt for your records. The final reading from your old w'a1er meter
will be used in determining your next regular bill.
If you have any questions or problems. please contact the Water Department during
normalworking hours. Thank you for your cooperation.
----------------------
INSTAllATION ACCEP1- _
OCCUPANT' SIG ATURE
DATE
Form 90080 (4-93)
Copy 1 Customer" :- -- -'Copy 2 WS
Copy3&4WD
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