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ACCOUNT #
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OLD METER
NEW METER
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-17!Q'u7oZ- ,
Ser. No. / .
Reg.No.
Size ~h ~3/y 7(0
. 1 ocr IX ,
Ser. No. ~~ 53 Vy
Digits ",'". /
Reading ~ b ~ t;(,. 0
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MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
Comments:
\ RPZ Ser. No.
.~ Type '
Lead_ Copper X Iron Pipe_
.....
RPZ Installed Yes No
Service Size
Ground Yes &._
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. .
bCCUPANT'S SIGNATfJRE
DATE ) l2 JZ"Z 10:2....,.-
From 90080 (4-1sl I Copy 1 Custome~"
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
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PHONE
Copy 2 Ws
Copy3&4WD