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OLD METER
NEW METER
Ser. No
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Reg. No.
Size ~ )("
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Bldg. Type :
Port 1
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RPZ Installed Yes _ No -
RPZSer. No.
Service,Size
Ground Yes KNO -
COMMENTS: 0\ \0-" ~
"0 Type
Lead Copper ~ Iron Pipp
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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.
If you have any questions or probtems. please contact the Water Department during
normal.working hours. Thank you for your cOQperation.
-----------------------
INST ALLATION ACCfFfTA1~ER METER SEAL WIRE IN PLACE,
OCCUPANT'SSIGNAT~~- ~
DATE ~ /?,:;?~ PHONE,;~~-~'.,.o{~:Jr{;
Form 90080 (4-931
Copy 1 Customer
Copy 2 WS
Copy! &4WD