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ACCOUNT #
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Lll.J:'(i1X
ADDRESS /D').-,J.3 /J 10. i i I
OLD METER
Ser. No.
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NEW METER
Ser. No.
Digits ,Reg. No.
Readina (/)t/c 3 7 <V~ize .5~j7 ~H<)f'iu~){-/ S
_ M!U Ser. No. ')3C:O~
MIU Phone#
Bldg. Type:
RPZ Installed Yes
No
Service Size ~/d
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GroUI~ No_
Comments: I "'_. ..
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Port 1
2
RPZ Ser. No.
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Type
Lead_ copperp~~v
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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 cooperation.
INSTAL~TION ACCEPTABLE. WATER METE~/~~IRE IN PLACE.
OCCUPANT S SIGNATURE . ~,/ .# ~...4;-, J<.-'
DATE J-/9-CJ<: --:~~'
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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