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ACCOUNT #
ADDRESS
OLD METER
NEW METER
/
Ser.No._ z.~2b7j55
/
Ser. No. '77CJ 7 /~.5 '3
Digits Reg.No.
Readinq ~+ D A Size~.Y -r Yt
MIUSer. No. 00 "5~"'3 7"'3' '3
. MIU Phone#
: Bldg. Type:
RPZ Installed Yes _ No _
Port 1
2
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RPZ Ser. No.
ServiceSi~e . ''t Type
Ground Yes No_ Lead_ Copp~r_ Iron Pipe_
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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 ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
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OCCUPANTS SIGNATURE
DATE J)-~-()~
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PHONE
Copy 2 WS
Copy3&4WD
From 90080 (4-93)
Copy 1 Customer