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ACCOUNT # q t) l () 0
ADDRESS
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OLD METER
NEW METER
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- /73$ <? ;-> 7
Ser. No.
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Ser. No.
MIU Ser. No.
Reg.No.
~O\()'Lf-pX Size C:;/cj(j&J
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Digits
Reading
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
Ground YeS~NO_
. .~ Type
Lead_ Copper .l,llvn Pipe_
Comments:
Please keep this receipt for your records. The final reading fromx..our 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 ACCEPTAB71" WATER METER SEAL WIRE IN PLAC~" .
OCCUPANTS SIGNATURE (71. R- ('1j~rnL(];riA ,- g OJ
DATE 1- J.- 0 ~ PHONE '4rJ{) - 7 ;) 7"
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From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD