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ADDRES~
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OLD METER
NEW METER ,
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Ser. No
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Reg. No.
Size
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MIU Ser. No
MIU Phone #
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'it9. Type:
Port 1
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RPZ Installed Yes _ No -
RPZSer. Nn
Service Size ,,(/)
Type
Lead, Copper ~ Iron Pip'"
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Ground Yes'" No _
COMMENTS' ().. \" f"\ "'"'-
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.' Please keep this receipt for your records. The final reading from your old water meter
""'will be used in determining your next regular bill.
It.you have any questions or problems. please contact the Water Department during
"'....maJworking hours. Thank you for your cooperation.
-'_:,- - - - - - - - - - - - - - - - - - - --
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<:"lNST ALLA TION ACCEPT ~LE. WA TERr~ETEyeAL WIRE IN PLACE.
Oc~~p"'NrSSIGN:URF (J.{ 7 ~
DAT~ ~..... "'U) d- PHONF Y
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Form 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD