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ADDRESS
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OLD METER
NEW METER
Ser.No. i77JZf;//
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Ser. No.
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MIU Ser. No. () D 54-In 54-tJ
Reg.No.
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Size :t 5e/15 t~5
MIU Phone#
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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 ACCEPTAB~R METER SEA...Y'7RE IN P
OCCUPANT'S SIGNATURE ~~/ -G'/;, '-/
DATE l- J 7- f') ~ PHONE
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From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD