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ACCOUNT #--.tJOI3'lJtO / n t/~/) ~.('~ti'.M/Mh"
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ADDRESS l~q-'--(jfrd{Jl) t2&/ lV;- ( \~
OLD METER NEW METER
Ser. No. S &> '18 3 to OQ Ser. No.
Reg.No.
Digits
Reading_f'> J () 7.f'O D
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Size
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MIUSer. No. ..t:Jt 0 '3 b _'5'1 q 4
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MIUPhone#
BJdg. TyPe:
. RPZ Installed Yes._ No ___
ServtceSlze
Port 1
RPZ Ser. No.
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Type
GroundYes ___ No_
Lead__ Copper__ Iron Pipe--=-
Comments: 14r)J~~~__ 1Ij. ~ lf7 7U-
Please keep this. receipt for your records. The final reading from your old water meter
will be Used in determining your next rElgularl:!iII, .
If you have any qUElstiQnS 9r problems, please cantact the,.VVater Departrtlent during'
normal working hours. Thank you for your cooperation.
. . !
INSTALI,.ATION ACCEPTABLE. WAT~R MI; I t:ASEALWIREIN PLACE.
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OCCUPANT'S'SIGNATURE ). A .
DATE )O-24--(;)~
From 90080'(~93)' C~!;'1'C~omer;-'-"~-
PHONF
"c\..~2WS '
Copy 3&.4 WD
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