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ACCOUNT# ti Lf 7> D ()) 5(
ADDRESS 1-f)-:1 '3 4-f/-n~ P<1 {~
OLD METER NEW METER
Ser. No.
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t,g} !t1> r1ser. No.
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Digits
Reg.No.
'lft;,I~~ X Size f" Ie b~(
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r;~7 rLf2
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Readina
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser.~:,
Type_
Lead_ Copper~on Pipe_
Service Size
''if
Ground Yes~No_
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 problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATION ACCEPT;BlE.~R j(ER SEAL WIRE IN' PLACE.
OCCUPANTS SIGNATURE I ~ -.
DATE Y - J 1- ~ '1 PHONE ~ Q. ~-- 4~~()
From 90080 (4-93) co~ 1 Customer Copy 2 WS Copy 3 & 4 WD
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