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ACCOUNT #
ADDRESS f to 0 1)"
OLD METER LOJ' t
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Ser. No. v{ 1 q f}......- )j g ~ Ser. No.
Digits
_\/'Reg.NO.
f? t, S,~ 0, ( 0 v\ Size
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Reading
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
Ground Yes ~o_
''If
Type
J<
c+
NEW METER
2
Comments:
Iron Pipe_
Please keep this receipt for your records. The final reading from your old water meter
will be used in determining y~ur 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~. ATE METER SEAL WIRE IN P.LACE.
OCCUPANTS SIGNATURE ~
. J
PHONE~ tJ -5"81 S-
DATE
Copy 2 WS
Copy 1 Customer
Copy 3 & 4 WD