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ACCOUNT #
ADDRESS
NEW METER /
Ser. No,~ +r; f;) ~ ;;20 Ser. No, 7 7/(}4g;;2 1
Digits . ;Reg. No,
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OLD METER
MIU Ser. No.
l\o'S)170~
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MIU Phone#
Bldg. Type:
RPZ Installed Yes
Port 1
2
No
RPZ Ser. No.
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Service Size
Ground Yes ..x;;~o-
''t Type
Lead_ CopperX' 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 ACCEPTA~~Y;'ATE~ ~E,TEfi SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE \.f It (,f/LtA../)
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DATE J Ii /2"),, {(J d-. PHONE LfCf)"- (I'l q /)
From 90080""$ ~ Copy 1 Customer Copy! 2. WS Copy 3 & 4 w{5
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