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AtCOUNT # .
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ADDRESP
OLD METER
NEW METER
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Ser. No
2-2'177'17'1
h
~1;3ID /
Nep-/(A1.L
'Ser. No
7-'D2Cf~/~ J
Digiti'.
Reg. No.
Size ~ X 3A!
Rea~
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MIU Ser. NO.~ 3G 85 cr 5
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MIU '1one #
Bldg. Type :
Port 1
~
j
"i
RPZ Installed Yes _ No _
RPZSer. Nn
Service Size "0 Type
Ground Yes _ No ~ lead Copper ~ Iron PipPj
~ENTS:~ ~ve 011 ~S~h~!;jl
Please keep this receipt foryo~r records. The final reading from your old water meter J
..,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 yourcoQperation.
-.--..---------------------
INSTAllATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATUaE~- 111 ~.--'7A -I?~ \
DAT~ 06? - PHDN4ii:!,:",,::1f1 .c,,).. S {.. Y
Form (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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