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ACCOUNT #
ADDRESS / tf/4o
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OLD METER
Ser. No. ~ 5 ~ '-/fitJ b
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MIU Ser. No.
MIU Phone#
Bldg. Type:
RPZ Installed Yes
No
Service Size
Ground Yes -i:.. No_ ~
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Port 1
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RPZ Ser. No.
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Type _-,*
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Lead_ copper~l~on Pipe_
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Comments:
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Please keep this receipt for your records. The final reading from your old water meter
wilt 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 ACCEPTA~TER~ETERI SEAL WIR,E IN PLACE.
OCCUPANT'S SIGNATURE . ',(0:::: ~L\fV\
DATE 10 - tl - (.) 1,..- PHONE "'f '-f s - .L':) b
From 90080 (4-93) Copy 1 Customer
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Copy 2 WS
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