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ACCOUNT # 00 1'$'8'.300
ADDRESS '15 I 7 PI e..t:J-!Sew
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-I- 5~ SE-
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I :;"~rSer. No.
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NEW METER
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Sa,. NO.>> 0'- Cf 'I tfi .'
Reg.No. ".~~(".
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Readinp. 't1''0100 / Size ':fa
MIUSer.No. OD'S '1057.;
OLD METER
'1 ~5 g" 42
Digits
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MIU Phone#
Bldg. Type:
No
Pprt 1
't
,
Itpz Ser. No.
2
RPZ Installed Yes
j
j
Service Size"
GroundYes X- No_
~ Type
Lead_ coppe~ Iron Pipe-,---:- '
Comments:
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Please keep this receipt forygur records. The final reading from your old water meter
will be used in determining yourne)d regul~r,!>iII.
If you have any questions or problems, ple''l:ontact the Water Department during
normal working hours. Thank you for your cooperation.,
.'NSTALLAT!ON ACCE~TABLE. WATER METER SEAL WIRE IN PLACE.
, OCC~PA~SIGNATiJRE*.;I /f6.~:J""". .....'
DATE ,~ z,t;;e, 1'.:: PHONE ,~,...
. Fr 90080 (4~~) .. . Copy 1 Customer QoPY2 wsL Copy 3 & 4WD
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