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ACCOUNT #
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NEW METER
ADDRESS
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OLD METER
Ser. No.
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Ser. No.
Reading
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Reg.No.
Digits
Size
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MIU Ser. No.
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MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No RPZ Ser. No.
Service Size_ '~ Type
GroundYes'/ No_ Lead_ Copper 1/lron 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 ACCEPTAB~~ATER.MET.r) ~ ~LWIRE IN PM
OCCUPANTS SIGNATURE, . -'." /J \'
DATE II-b - 200'<--0 ' PHO~E- ~ Q.. - LJL/J-)}'7")
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD