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ADDRESS
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ACCOUNT#
OLD METER IV.(?) 1/; 1
NEW METER
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Ser.No. ?~o)l-Ja7 Ser.No. 77(P;) :7 ?)~
Digits y Reg No
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MIU Ser. No. ~ 7 () r;7 (?;
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
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GrOUndYeS~O_
Type
Lead_ Coppe~ Iron Pipe_
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 ACCEPTABLE. WATER MET1lE... SEAL WIRE IN PLACE.
I'1f1A A ~
OCCUPANTS SIGNATURE IlfYIJ'J""'-- . ~.
DATE ': -- f ~ - O'1? PHONE 'fLFl-'J >72-
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD