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ADDRESS
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OLD METER
NEW METER
Ser. No.
Ser. No.
Digits
Reg.No.
Reading
Size
Bldg. Type~
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Port 1 2
MIU Ser. No.
MIU Ph()[le#
RPZ Installed Yes No
RPZ Ser. No.
SerVice Size ''if
Gr~und Yes t No_
Type
lead_ copperX Iron Pipe_
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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.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE
DATE 1/6/b 3
From 90060 (4-93)
Copy 1 Customer
PHONE
Copy 2 WS
Copy3&4WD
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~MANOR RD SE, 5462
5DDRESS
'~LD METER YOUNGBLUT, LORI ,
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NEW METER
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Set. No11o t-q l q <j
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Reg.No.
Size (/~ X 3!'f f?t-u
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Ser. No. 24627332
Digits
Readinp .OLI1~ h:J ~
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July Read: 965380
MIU Ser. No <. ,'''~ z.9t"
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Mll}:'Phone#
'V,
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
''if Type
Lead_ COppe~i,ron Pipe-
if, :~"nts: l/f'"jJ() !'Jt ~ 'J "
, . "',~4-.f- -r.~ l ~i -;r 1~?f1-
Service Size
Ground yes)t; No_
Please K,jep 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. ~
I
I
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCBUPANTS SIGNATUR~ ~~..
DATE li<l 0-- () "'2-"'; . PHONE Lfy 7 -- 5& J Y
From R0080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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