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9044/000 V
,ADDRESS Lf"~ 0 Lo r Js
OLD METER Lol ~ A. CtI) NEW METER
51-
~ Digits
. Reading OJ1J .~L/o ~
Reg.No.
Size'
...
Ser. No.
~/b9 a,~be
Ser. No.
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.. ~MIU Ser. No.
~MIU Phone#
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Bldg. Type:
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.. ',.... ~;.': ,.
:~,
,
Port 1
2
· RPZ Installed Yes
.
No
,-
RPZ Ser. No.
"'.
v ~Service Size
.'/.....
..~'Ground Yes ~NO_
''II
, Comments:
Please keep this receiptfor 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 Oepl:\.rtment during
normal working hours. Thank you for your cooperation. .
":. ~ ....
INSTALLATION ACCEPTABLE" WATER METER SEA~ WIRE IN PLACE.
.e-/ /1 { _ ~._-'---., A
OCCUPANTS SIGNATURE i I :}0', ..! { .' ! '_~,
PHONE "''10 jJ. 5 T 7'1
I 0 - 8' - a "'""\--
DATE
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD
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