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ACCOUNT #
ADDRESS
Ser. No.
Digits
Reading
MIUSer. No.
MIU Phone#
Bldg. Type:
RPZ Installed Yes
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OLD METER
NEW METER
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Ser. No. ry 7/8 CC <<J
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Q{)(lJ3/'~
Reg.No.
Size ?/r('~
Port 1
2
No
\
RPZ Ser. No.
Service Size
Ground Yes No V"
''''~ Type
Lead_ copperL,ron 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 co~ration.
INSTALLATIONACCEPTABLEC",JER M/ER SE~!RE IN PLA<J.
OCCUPANT'S SIGNATURE ~X ~ '~~~.(" L(4;1 /-r;I~
DATE !--~~ . f flP - {)L PHONE (1.<.7;2.', (/ ( / C -L/ /- :?,f'
I
Copy 1 Customer Copy 2 WS Copy 3 & 4 WD /"
IQ - ( ~ 11. J 10 . ) '2 A .""
From 90080 (4-93)
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