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ACCOUNT #
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ADDRESS
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OLD METER NEW METER
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~~: 4'~?""')'<:<'J'.19 7~" ,.
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Ser. No. ~ ::> ':>'1-'...; Ser. No. ~
Digits
Readina .13}X~';{O J
Reg.No.
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Size
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J,;!y ;:;;"-ild; 202.)40
MIU Ser. No. GU 3(0.5 Sd-. >
MIU Phone#
Bldg. Typ,:
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RPZ Installed Yes
Port 1
2
No
RPZ Ser. No.
Service SiS
Ground Yes X No_
''%
Type
Lead_ CopperL 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 problenw,.please contact the Water Department during
normal working hours. Thank you f~if your cooperation.
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INSTALLATION ACCEPTABLM,". WAViJ, , 'R,'/tJE,',','.^.TER SEAL WIRE IN PLACE.
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OCCUPANT'S SIGNATURE \.1111..{i v' ,..lit)
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PHONE '-7"Jj.-:+ - orob
DATE If)' 7}.r - l) 1,...
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy 3 & 4 WD
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