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ACCOUNT # 00 I "1bCf aD
ADDRESS /Jp39J V{-r+b-'(:$"
.A IN J6
OLD METER
NEW METER
/'
Ser.No. ~~7+-~ Ser.No. '?110f~7~
Reg.No.
Size*
Digits
Reading_A .t../~ .1' 7 () ./
$"3>lf~1
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I
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MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size '~
Ground Yes K No~
Type
Lead_ copped Iron Pipe_
Comments:
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-1
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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.
INSTA. LLATION ACCEPTABLEr7. ER METER SEAL WIR~ IN PLACE.
O.CCUPANT'SSIGJATURE i\ iiJL.[ ()J~
DATE l o,/~, lYZ- PHONE &../<1-'7 ~J9-? 7
From 90080 (4-93) Copy 1 Customer . Copy 2 WS Copy 3 & 4 WD
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