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ACCOUNT #
ADDRESS
51
OLD METER
Ser. No._]1_~'5 10 \.f
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Digits
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Reg.No.
Size -) / &' X -:1/ '-f ? (<::)
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MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes _ No -
RPZ Ser. No.
Service Size_
Ground Yes 4 No_
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Type
Lead_ copper~ Iron Pipe.............
Comments:
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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.
INSTAlLATION AC. CE.PTABL. E.WATER METE~EAL WIR. E IN._ P.~L.A.' ChE.o/
OCCUPA.Nrs SIGNATUR~ /'/' (....J..l1 A ~ r ~
DATE 10 - /1-0 ~ r - PHONE fj... .
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD
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