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-ACCOUNT #
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ADDRESS
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OLD METER
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L ,\ NEW METER
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Ser. No.
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1 'i?7~71_< Ser.No.:J10't 9700
Reg. No.
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Digits
Reading
MIU Ser. NI"
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MIU Phone #
Bldg. Type :
Port 1
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RPZ Installed Yes _ No -
RPZSer. No
Service Size
. "0 Type
Ground Yes _ "0 _ Lead Copper Iron Pipp
COMMENTS: tlAI M ,J- p / '
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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 problems. please contact the Water Department during
normal working hours. Thank you for your cooperation.
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INSTALLATION A. CCEPTAB.LE. WATER MEA:)TE SEAL WIRE IN PLACE.
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OCCUPANT'SSIGNATURF -/ ~~.
DATE 9-1g'-oz. PHO~~~~c!2-~~
Form 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD