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ACCOUNT #
ADDRESS
Ser. No.
OLD METER ~ fA P q", f
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Digits
Readinp
MIU Ser. No.
MIU Phone# \
Bldg. Type:
RPZ Installed Yes No
, Service Size ''if
Ground Yes xNo-
Comments:
/J
NEW METER
>-
Ser. No.
Reg.No.
Size >7~( IO~(
Port 1
2
RPZ Ser. No.
Type
lead_ Copper ~'PiPe_
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 ACCE~::rAB~E. ~ATEf{ METER SEAL WIRE IN PLACE.
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OCCUPANTS SIGNATURE~: '\\J- < /('(~
DATE ~--:2 (-O~ ~ PHONE - -::l ~-&~q {
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD