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ACCOUNT #
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7.
ADDRESS
OLD METER
NEW METER
Ser. No.
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5JsCll =<~ 19' Ser. No.
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Reg.No.
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Readino,
MIU Ser. No.
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, MIU Phone#
Bldg. Type:
Port 1
2
RPZlnstalled Yes;-- No _
RPZ Ser. No.
Service Size"
Ground Yes ~.,.-
'~ Type
Lead_ copper---0on Pipe__
Comments:
Please keep this receipt for your records. The final reading from your old water meter
will be used in det$tmining your next regul~r bill.
If you have any questions' or problems. please contact the Water Department during
normal working hours. Thank you for your,cooperation.
INSTALLATION ACCEPTABLE/WAT.kR,MJ2'1~SEAl WIRE IN PLACE.
OCCUPANT'S SIGNATURE ,~i"'1, (<:..:... -----
DATE~:() r /;'1 r O~;' PHONE
From 90080 (4-93)' Copy lc;.~ACopy 2 WS Copy 3 & 4 WD
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