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~EW METER
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OLD METER
Ser. No
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MIU Phone #
Bldg. Type :.\
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RPZ Installed Yes _ No _
Service Size
Ground Yes _ No _
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COMMENTS:
Port 1
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RPZSer. NC'
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Lead Copper
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Iron Pip~
Please keep this receiptforyour 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 cOQperation.
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INSTALLATION ACCEPTABL . WATER MET~R SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURF
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DATE _ C) '- ZJ -Q 'Z--
Form 90080 (4-93) Copy 1 Cuslomer
PHONF
Copy 2 WS
Copy3&4WD
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