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ACCOUNT #
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ADDRESS
OLD METER
NEW METER
Ser. No.
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Digits
Reading
MIU Ser. No.
<'1-<1, \l-
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MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Ves
No
RPZ Ser. No.
Service Size
''ff
Type
Ground vesf- No_
Lead_ Copperp..- Iron 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.
INSTALLATI<?N ACCEPTABLE. .VJ'T~R MET~ S7ALIWIR~ , PLACE.
OCCUPAN-I,S S:IGNATURE ;/!ttr1- C/ (/'J lJ0:1 '
DATE '7 ~\O"1 PHONE I
From 90080' (4\3)- . Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
1