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ADDRESS--L.b..'X ~ SIM PI<,D$ AjlE" S uJ
OLD METER JtA-J.LaER6 NEW METER
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$er. No.
5;;"'04 bOO't~ Ser.No.
I
/ Reg. No.
02. <)( 2. ,;)., ~n Size
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-Jl)igit\'
Reading
MIU Ser. No.
a(J 3S 2'&;" 2 2../
MIU Phone #I
Bldg. Type:
Port 1
RPZ Installed Yes _ No -
RPZSer. N"
Service Size
,,(/) Type
1;;)'
~...\,.;.
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Ground Yes ~ No -
Lead
Copper ")( Iron Pipp
COMMENTS'
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 ACCE;;;31PTABL:...WATER ME. TEA SEA~~'RE IN PLACE.
OCCUPANT'S SIGNATURE ~ ;;:(;,
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DATE t::t-ILJ -:J.oO~_ PHONF
Form 90080 (4-93) Copy l.4!ustomer Copy 2 WS Copy 3 & 4 WD