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ACCOUNT #
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ADDRESS
OLD METER
NEW METER
Ser. No.
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Ser. No.
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Digits
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MIU Ser. No. DO 3(p534 ::t
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Reg.No.
1'/"6 If
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Size
MIU Phone#
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Bldg. Type:
2
Port 1
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RPZ Installed Yes'i:.~"Nd ~
RPZ Ser. No.
_J3ervice Size
Ground Yes i! No_
'~ Type
Lead_Copper-Vlron Pipe~
Comments:
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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 contactthe Water Department during
normal working hOUrs. Thank you f9J your cooperation:
INSTALLATION ACCEPk~ WATE/"" METER SEAL wrRElN PLACE.
OCCUPANT'S SIGNATU~\E \ . ~ U tf' , (, " /
D~:E90080(4-93) _'0,:6 J>fI~ "'-~3&4WD
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