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ADDRESS
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ACCOUNT #
OLD METER
NEW METER
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Ser, No.3i7/ ;;""7 7 a.
Ser, No.
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Reg.No.
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Digits
MIU Ser. No.
MIU Phone#...
Bldg. Type:
Port 1
2
RPZ Installed Yes No RPZ Ser, No.
Service Size ''% Type
Ground Yes f- No_ Lead_ coppe~ 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.
OCCUPANTS SIGNATURE
DATE 3 - 8 -03
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
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From 90080 (4-93)
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Copy 2 WS
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