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ACCOUNT #
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ADDRESS
OLD METER
Ser. No. ~cr.~Cfc:rq 10
Digits
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Readina
MIU Ser. No.
MIU Phone#
Bldg. Type:
RPZ Installed Yes
No
Service Size
Ground Yes L No_
Comments:
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NEW METER
/
Ser. No. 77s~~lol..fc
Reg.No. /
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Size "7/<7>
I
Port 1
2
RPZ Ser. No.
''if
Type
lead_ copper~ 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 ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
t'
OCCUPANTf SI3NATURE
DATE I II 0 1-
From 90080 (4-1b, Copy 1 Customer
PHONE
Copy 2 WS
Copy 3 & 4 WD