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ADDRESS
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ACCOUNT #
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OLD METER
NEW METER
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Ser, No, ~/4 /
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Reg.No.
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Ser. No.
Digits
Reading
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
Ground vesA.,No_
''% Type
Comments:
by
Lead_ coppe~
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Iron Pipe_
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~~TER ~ET~. E.R~ EL L ~ W~E IN PLACE.
OCCUPANT'S SIGNATURE~~~
DATE 10 'I1--b""- . PHONE
,
From 90080 (4-93)
copy 1 Customer
Copy 2 WS
Copy3&4WD
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