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ACCOUNT #
ADDRESS
OLD METER
Ser. No.
<<12,5"' ~ )0
Digits
@1
NEW METER
J
Ser. No. 'J -, 'fF 'f:) j I
'1'blEf-5"'Ov'
S-l.. q~ 2- '--
Reg.No.
Size (' / R X. "$ / '1 Pr Q
,- , .
( \;:) ~u.1
Reading
MIU Ser. No.
MIU Phone#
Bldg. Type:
RPZ Installed Yes No
Service Size "~
Ground Yes _liNo_
Comments:
c; ~.
Port 1
2
RPZ Ser. No.
Type
'Lead_ Copper~ Iron Pipe_
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 ~-:rdu..t~~
DATE") IfA I/) 3 PHONE .' '1 '-f () ..:'\' 0 {, t{
From 900~O (4-~ !::.. Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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