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ACCOUNT # (1 (J~">C;1'"3. 0'0';- ,X
ADDRESS l<..f" R :J ,''1 . {J. ~ It. r q ~ /
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OLD Mt: I t:R
NEW METER
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Ser. No, uO ~ ffff''f
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Ser.No. ....f~ )b.267~
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Digits
'MIU 8er. No,
MfU Phone#
BlQg.Type:
RPZ Installed Yes No
Port 1
2
RPZ Ser.' No.
Service' Size ''t
Groung Yes YNo_
Type "'1
Lead_ copper~n PiP8--,-::i
Comments:
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Please keep thisreceiptfofH)'OtIr:recor{ls. The final reading from YOl:Jr old water meter
will be used in. determining yournm<< regular bill.
If YOll' have any questions or problernJ,t please cont@.ct the Water Department during
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normal working hours. ThankyOtifor yourCOClperation.
INSTALLATION ,ACCEPTAB~;WAtER METER SEAL WIRE IN PLACE.
OCCUPANTSSIGNATUR~;.~;C; ~V\. ..
DATE 'Ohol rr1__ . ' -PtidNE'<./..r 't 0_ q? '7 2 H
From 90080 (4-9:/) - Copy 1 Customer .' Copy ~Ws' Copy 3 & 4 WD
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