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ACCOUNT #
ADDRESS
OLD METER
Ser. No,
J
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Digits
Readinn ooaCo-r-(('~-'..-\
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MIU Ser. No. QJ 5 Lj fa d (<;,-
MIU Phone#
Bldg. Type:
RPZ Installed Yes No
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Ground Yes JL No_
Comments:
I I
NEW METER
Ser. No.
Reg.No.
rJ/
1ft
Size
Port 1
2
RPZ Ser. No.
Type
lead_ copper0ron 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 ACCEPTABLE. WA.:r~ METE?~S Al ~RE IN PLACE.
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OCCUPANTS SIGNATURE I <-., c- L>....'--
DATE
From 90080 (4.93)
Copy 1 Customer
PHONE
Copy 2 WS
Copy 3 & 4 WD