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ACCOUNT # ()();) 't'2 7 Or)
ADDRESS Af d.ckUJ 1M ~./ J',- c f'd <;'() 1 v Q: I
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OLD METER Cifv6b ~ NEW METER
27(ft..Lo7'? 1\
o ( /) ))V Ser. No.
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Readina r;d~ ~7(' - Size
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Ser. No.
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77/ff{Ptf>g-
Digits
Reg.No.
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MIU Ser. No.
MIU Phone#.
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Bldg. Type:
Port 1
2
RPZ Ser. No.
Type
lead_ coppe~ron Pipe_
Comments:
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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 cooperati~n, ".
INSTALLATION ACCEPTABlEfA1ER ~~TE!}.~RE IN PLACE.
OCCUPANTS SIGNATURE '\f t-in t).. ~
DATE J J- ..... )]--0 jt. . PHONE-L\f7 .... t.#J'J.
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From 90080 (4-93) . Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
1