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ACCOUNT #
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ADDRESS
OLD METER
NEW METER
/'
Ser. No.~ 0 ~ 00 ~ Ser. No.
Reading
O~~ O~ > I-L '/\
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MIUSer. NO.-.f) C>>.3D ~ d \
Size
tJ/Yi
Digits
Reg.No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
Ground Yes t./No_
'~
Type
Lead_ Copper~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 SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE
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,.' ..,<1'" ' 7
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DATE
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, Copy 1 Customer
PHONE
Copy 2 WS
Copy3&4WD
From 90080 (4-93)