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ACCOUNT #
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ADDRESS.J!11, K 7
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OLD METER , I/") NEW METER
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Ser. No -t/J1..- vtt..---q 0 7 Ser. No -1''70 ~.lj Y1!o /
Digif"
Reading L-{ 0 ') ,9f-o \/
Reg. No.
Size /I~ '" \/u lIr ~
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MIU Ser. Nn
'1\X49~
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MIU Phone.:
Bldg. Type :
Port 1
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RPZ Installed Yes _ No -
RPZSer. No
Service Size
,,(/) Type
Ground Yes -t.NO _ Lean Copper ~ Iron PipiA
COMMEN);t): c::;, \, d ~, f-..... +-.t- - ,
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If you have any questions or problems, please contaQ~., ,.0", l Ifttdt1rfng
normal working hours. Thank you for your cooperation. y
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INSTALLATIO~AE:CEPTABLE. ~ S~E I CEo
OCCUPANT'SSIGNATU~3--~ ,_ --...
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DATE
, PHON
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Copy 1 Customer
Copy 2 WS
Copy 3 &4WD
Form 90080 (4-931