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ACCOUNT #
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OLD METER ~t!)/V NEW METER
ADDRESS
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ser.No.SJ~t;v~
Ser. No.
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J
Reg. No.
,~, Digit..
Reading~J
Size
MIU Ser. No.
a.o <.s ,1( ~ 3 .:l
MIU Phone #
Bldg. Type :
Port 1
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RPZ Installed Yes _ No -
RPZSer. No.
Service Size
Ground Yes ~ No _
,,(/) Type
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
normalworking hours. Thank you for your cooperation.
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OCCUPANTS SIGNATURE
INSTALLATION ACCEPTA
-
, DATE 9- ,t..J - '2. t:>0 ~_
Form 90080 (4-93) Copy 1 Customer
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