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ACCOUNT #
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ADDRESS
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OLD METER
NEW METER
Ser. No.
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Reading
Reg.No.
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Digits
MiU Ser. No.
OCJ3.stf133
MIU. Phone#
Bldg. Type:
Port 1
2
RPZlnstalled Yes _ No_
RPZ Ser. No.
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Service Size
Ground Yes VNO_
''t Type
Lead_ copper-0on Pipe_
Comments:
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Please keep this recelptfor 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.
INSTALLATION ACCEPTAB~T- WATI;R METER SEAL WIRE I~ PLACE.
OCCUPANT'S SIGNATURE N.lIbVkg- rf/dJf.16Jq L
DATE 10! 3.1jQ2 , PHONE
From 90080 (4-93) Copy 1 Customer Copy 2WS Copy 3 & 4 Wo
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