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ADDRESS
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'.ACCOUNT #
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OLD METER
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Digits
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J Reg.No.
JO! 72PJ Size >/ff 10 be,)
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Ser. No.
Ser. No.
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RPZ Instafled"Yes:.....-.;No _
Port 1
2
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RPZ Ser. No.
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. Service. Size
GroundYeS~O_
"t Type
Lead~ coPper~On~~ .
Comments:
Please keep this receipt for your records. The final reading from your old water meter
will be used in determining your next regular bilL
If you haveariy questions or problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
-
INSTA.lUUIQNACCEPTA~LE WATER MET,ER SEAL WIRE 1-PLACE
OCCUPANrSSlGNATURE If; , (i, ~.((~
DATE / 41PPMONEq..tf F &q. 7:2-
From 90080 (4-93) Copy 1 C~,.:,',J" Copy 2 WS Copy 3 & 4 WD