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ACCOUNT #
ADDRESS
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NEW METER
Ser. No.
Digits
Reg.No.
R7r?r/\ Size )/Cl /{)tJOc;("~f
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Readino
MIU Ser. No.
MIU Phone#
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Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size
Ground Yes X' No_
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Type
lead_ coppe~n 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 ACCEPTABLE. WATER METER PrAL ~JRE IN PlA9E.
OCCUPANTS SIGNATURE q/.bJk' 'f}--f~c
DATE l- Q..IJ -:()~ PHONE Q ;)( -- t.I--.v~ I
From 90080 (4-93) Copy 1cistomer Copy 2 WS Copy 3 & 4 WD
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