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ACCOU~T :06l.r 3~O"'OD
ADDRES~ '. 3870 S;~p~l'ns
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OLD METER
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NEW METER":
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Ser. No.
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Reg. No.
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Size
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MIU Ser. N('
:3S8L37
'iMIU Phone #
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,Bldg. Type:
~PZ Installed Yes _ No -
~flS'ort 1
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RPZSer. No
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Service Size ,,(/) Type
a(Ound Yes:t No X; . Lead Copper K '(On PIp"
COMMENTS: '/"$ 'q;r-~,
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Please keep this receipt for your records. The final reading from your old water meter
\AliII be used in determining your next regular bill.
If you have any questions or~bblems, please contact the Water Department during
normalworking hours. Thank you for your cOQperation.
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INSTAllATION ACCEPTA E. 'ftTER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE
DATE fj/J i /O~
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PHO~.'.,."'" \~
Form 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy 3 & 4 WD
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