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ACCOUNT #
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ADDRESS
OLD METER
NEW METER
Ser. No.
Ser. No.
Digits
Reading
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
~N~S~ ~
Ground Yes sf: No_
Type
Lead_ Copp~'lron 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 '? It 10. ~
From 9008014-93) Copy 1 Customer
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
It~,(~
PHONE~1~ - J ~ 17
Copy 2 WS Copy 3 & 4 WD