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ACCOUNT #
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ADDRESS-L# /L/"7 I3J vi ~ b-: ./ d
OLD METER
TLJJe
NEW METER
Ser. No. ,~t:; j'v.d3; Ser. No. /
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Digits Reg.No.
Readinp :2/_~~W X Size -j
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MIU Ser. No. CC:55 V 0' ':/ /
MIU Phone# ,
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
''f1
Type
Lead_ Copper~'lron Pipe_
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Ground Yes _~"No_
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 cooperation.
INSTALLATION ACCEPTAB~,WA,~ If,~ /E ET~ i SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE {. 1'~~ "-<---_
DATE /0 -/0- 0 ..,. PHONE
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD
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