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ACCOUNT #
ADDRESS
OLD METER
Ser. No.
/
SJO 13G '1t/
Digits
A
Reading
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MIU Ser. No.
GU3~5?>70
MIU Phone#
Bldg. Type:
RPZ Installed Yes
No
Service Size
Ground Yes ~o_
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Comments:
Ser. No.
Reg.No.
Size
Port 1
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NEW METER
l
'.
2
RPZ Ser. No.
Type
Lead_ CopperV'1fon 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 ACCEPTABLE. WAT"ER ETER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE
DATE ZI; oCi tJ t
From 90080 (4-93)
eopy 1 Customer
0.-1.-1
I
/ PHONE
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Copy 2 WS
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