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ACCOUNT # .ra I 77 J.1jo /
ADDRESS
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OLD METER
Ser. No
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Reading
MIU Ser. No ;, <)'~ L/ O(~
MIU Phone 4t
Bldg. Type:
RPZ Installed Yes _ No -
Service Size
Ground Yes A. No -
COMMENTS: ~\~
NEW METER
Q/
ser.No.:JI02Dtb70 -
Reg. No.
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Port 1
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RPZSer. No
"0 Type
Lead Copper X:- 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 problems. please contact the Water Department during
normalworking hours. Thank you for your cOQperation.
-----------------------
OCCUPANT'S SIGNATURE~'
DATE q-(~-OV
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
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PHONF?.J-;)-W"~ ~sg~ I,
Form 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD