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ACCOUNT #
OD
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ADDRESS
OLD METER
NEW METER
Ser. No.
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Ser. No.
Digits
Reg.No.
Size ~f !C)/JtJ ~
Reading
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MID Ser. No.
MIU Phone#
Bldg. Type:
Port 1
.2
RPZ Installed Yes
No
RPZ Ser. No.
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Type
Lead_ coppe~lron PiPe~
Service Size
Ground Yes.~_
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
r'I()rmal working hours. Thank you for your cooperation.
INSTAL.LAT.ION ACCEPTA~WATER METER SE~L WIRE IN PLACE.
OCCUPANT'S SIGNATURE(//Il"-1.f;( ~tl{'-jC,j- /
DATE~ (/. . PHONE If /f-..r ;.1 r ?()
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD