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ADDRESS Y;;;J~ 6JtxzeL CO ~S I ~,.~ 'q ~
NEW METER 11
OLD METER
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Digits
Ser. fj);4> i (,,(, (,. (-
Reg.No.
ser.No._7'7~~7
Reading 00 J - \' U-D / Size
MIU Phone#
01)
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MIU Ser. No.-C)Q .3S 'CE 3 ~
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
, "If Type_
'-
Ground Yes
No_
Lead_ Copper_ Iron Pipe_
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Please keep this receiPJi'for your records. The final reading from your old water meter
will be used in deterlTlming 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.
INSTALLATION ACCEPT~lil.~. WA..JER METE.r.'aALJIRE I....P LACE.
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OCCUPANT'S SIGNATURE .! ' ..' ~.
. r-'"
DATE /El/I~' ~NE 1t:''''lfl7-'dt~ ~
From 90010 (4,:,r-r) r Cop,.,.-customer Copy 2 WS Copy 3 & 4 D
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