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ACCOUNT #
ADDRESS
OLD METER
NEW METER
/
Ser. NO.1/1..rL... 2-- VL14' Ser. No. 77/ D1/ 767
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\. 7/"-:;;) 7,77 }O/"'/
MIU Ser. No.. 2- b _
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size '~
Ground Ye~ No_
Type
Lead_ copper-J<lron 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 cont~ct the Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATION ACCEPTABLE.
OCCUPANTS SIGNATURE
DATE I D /" 2-/0 .."L.-
From 9tD80 (4-~3) / Copy 1 Customer
PHONE
Copy 2 WS
Copy3&4WD
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