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! ACCOUNT #
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ADDRESS
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OLD METER
Ser. No.
5.ln(.J,~~ /
Digits
Reading~~ 1.13 0 /.
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MIU Ser. No.
MIU Phone#
Bldg. Type:
RPZ Installed Yes
No
Service Size
Ground Yes -1- No_
Comments:
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~y.,.o.-:
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NEW METER
Ser. No.
Reg.No.
Size 6\ <h I
Port 1
2
RPZ Ser. No.
''t
Type
Lead_ copper~ Iron Pipe_
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 fO'r your cooperation.
INSTALLATION ACCEPTP:B'f' WATER METER SEAL WIRE IN PLACE.
OCC~PANT~~Jh:URE V~~
DATE /l)/l .. ~ . PHONE.
, -
From 90080 (4-93) COpy 1 Customer Copy 2 WS Copy 3 & 4 WD
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