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ADDRESS
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OLD METER
NEW METER
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Ser. No.
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7-1 ' Ser. No.
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Digits
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Reading
Reg.No.
~71/~70,~size
7~J &9 :J-
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MIU Ser. No.
MIU Phone#
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Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
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Type
lead_ Copp~ Iron Pipe_
Comments:
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
\ nqrmalworking hours. Thank you fO!: your cooperation.
INSTALLATION ACCEPTABl~R M
OCCUPANTS SIGNATUR~I ;,:Jc,/ /' A -
. , V
DATE I () I k ~ J () b-- PHONE
I Copy 1 Customer
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From 90080 (4-93)
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Copy 2 WS Copy 3& 4 WD