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ACCOUNT #
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OLD METER L()r91..J1'~ NEW METER
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ADDRESS
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-z. 7bOZLflD Ser.No.~ 70 Zq iDS
Reg. No.
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MIU Ser. N(\
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Port 1
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RPZ Installed Yes _ No _
RPZSer. No
Service Size
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Ground Yes _ No _
COMMENTS:~
Lead Copper
MA~
Iron Pipp
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.
I,N", STALLATION ACC~A
OCCUPANT'S SIGNATUR
DATE q /1-0/ z:- ~ON
Form 90080 (4-93) Copy 1 Customer
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SEAL W~E IN PLACE. _ ~
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Copy 2 WS
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