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ADDRESS
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ACCOUNT #
OLD METER
NEW METER
Ser. No.
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Ser. No._~ 7 ~ (p ~
Digits
Reg.No._
MIU Ser. No.
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Size
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Reading
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size . ''%
Ground YeX No_
Type
lead_ copper~on Pipe_
Comments:
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 ACCEPTABl~TE. R ~~SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE '. --\. Q .Q~
DATE}'" If--01 PHONE 't~z _"\'"\1' "'l'i'f~'
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From 90080 (4-93) CoJ'Y 1 Customer Copy 2 WS Copy 3 & 4 WD
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