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ACCOUNT 11
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ADDRESS
5f )C
OLD METER
NEW METER
Ser. No.
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Ser. No.
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Digits
Reg.No.
t OCib q;(O Size
(JIJ 1 r;<t 'I- J 1
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Readina
MIU Ser. No.
MIU'Phone#
Bldg. Type: Port 1 2
RPZ Installed Yes No RPZ Ser. No.
Service Size ''if Type
Ground ves.kNo_ Lead_ Copper.2c. Iron Pipe_
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 ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE # d1 Q~ ( ~ ./
DATE q/ u/)/--- ~ ~NE_',I'~t~~f~~/.
From 900f/o (4-93) Copy 1 Customer Copy 2 WS CO;y 3 & 4 WD
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