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ACCOUNT # ~ Ur/
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ADDRESS
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OLD METER
Ser.No. ~3~>~
Digit.
Reading 2 ? 0 l( <<] 0
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II' 'S"'.7j~'- .C...;.C....
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SiT
NEW METER
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Ser. No.. 7"/(\ 75i 7/"t..:. .
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Reg. No.
Size $
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JC1/" P'o
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MIU Ser. No.
;,~ 370
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MIU Phone It
Bldg. Type:
RPZ Installed Yes _ No _
Service Size
Ground Yes ~ No _
COMMENTS: fi '')~
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Port 1
~
RPZSer. No
,,(/) Type
Lead
Copper X Iron Pipp
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M. ,..f...r
.
Please keep this receiptfor 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 ACCEP.~ABLE... .... EA. MET.. ER SEAL WIAE IN PLACE.
OCCUPANT'S SIGNATURF.. . e:U~ -
DATE q"" ~1 - O'Y'. PHONF.
Form 90080 (4-93)
Copy 1 Customer
COpy 2 WS
Copy 3 &4WD