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ACCOUNT #
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ADDRESS
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OLD METER
Ser. No.
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Digits
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MIU Ser. No. . DO') 3D j b S-
MIU Phone#
Bldg. Type:
RPZ Installed Yes
No
Service Size
Ground Yes, ~o_
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., Comments:
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Ser. No.
NEW METER
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11 (8bs-ry
Reg.No.
Size 5/ r; (I
Port 1
2
RPZ Ser. No.
Type
Lead_ CopperXlron Pipe_
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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.
OCCUPANT'S SIGNATURE
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
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DATE
/1- /-0 ~
i From 90080 (4-93)
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Copy 1 Customer
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PHONE
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Copy 2 WS
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