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ADDRESS
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OLD METER
NEW METER
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Ser. No. .tJ" 3 f) ~ 7 t .~ Ser. No.
Digits
Reg.No.
. 'i } I . .<
Size ~ 5' P Ju 'J1,1 /
Readino P, / q ~ -; Z (') .:x:
MIU Ser. No. ()O;5 4 3 6 99
MIU Phone#
Bldg. Type:
Ground Yes
No_
Port. 1 2
RPZ Ser. No. Jl
''if Type
Lead_ Copper_ Iron Pipe_
RPZ Installed Yes No
Service Size
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 SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE
DATE / ~./ 7' - 0 2-
From 90080 (4-93)
Copy 1 Customer
PHONE
Copy 2 WS
Copy3&4WD