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ACCOUNT #
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ADDRESS
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OLD METER R
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ser.No.2-)JY flS:3J
Digits
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MIU ,Ser. No.
MIUPhone#
Bldg. TYPQ: '
RPZ Installed Yes No
Service Size ''if
<3round Yes p. No_
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NEW METER
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Ser. No. ,?J be; cf J L
Reg.No.
Size ~~)( "5('-( ,fJfo
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Port 1
2
RPZ Ser. No.
Type
Lead_ copper~ IronPipe----=
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 r~ular bill.
If you have any questions or problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATION ACCEPTABL~R METER S AL WIRE IN PLACE.
OCCUPANTS SIGNATURE /) /./'1-'.A j
(./ _/~.
DATE 12> --1-z..-D"'L-- PHONE 'IV 7-
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy 3 & 4 WD
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