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ADDRES~
OLD METER
NEW METER
Ser. No.
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Ser. No.
DigitF
Reg. No.
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Size~
Readi"g
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MIUSer. NO.-'20 35 ~1q~
MIU Phone #
Bldg. Type:
Port 1
:'
RPZ Installed Yes _ No -
RPZSer. No
Service Size
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Type
Ground Yes ~o -
Copper L Iron Pipp
Lead
COMMENTS:
Please keep this receipt for your records. The final reading from your old water meter
will be used ip 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.
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INSTALLATION ACCEPT AB~ryA1f~ER SEA~ ,RE ~ PLACE.
OCCUPANT'S SIGNATURE';"U ~~ r / I' (elf)..
DATE ! f 7~'J PHONE 9'1,) _.~ /.J~>
Form 90080 (4-93} Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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