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OLD METeR'>
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Ser. No
NEW METER /I,
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f7!071c.( '1 '] /
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Reg. ~o.
Size ~ S 1 (r)
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MIUPhone .
RPZ Installed, Yes _ No -
RPZSer. No
"0 Type
Service Size
G~Und Yes _ No '-/
Lead
COMMENTS'
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Coppe~ Iron PIp"
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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 have any questions or problems, please contact the Water Department during
normal working hours. Tl'lankyoufor your cOQperation.
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.. INSTALLATION ACCEPTABLE. WATERM~TER SEAL W!f\~,~~t:CE.
OCCUPANT'SSIGNAT~..n,.;,- "':~..:i1 '
DATE 9/ 'J { () 2-,.' . PHo,.Ji4fiij.~~~j,:i~ '
Form 90080 'o4-93~COpy1'Custom.r Copy 2 ~ CopY 3 & 4 WD
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ADDRES~
00135300
lJ..2- 5 3 ~ ca1- ~~
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Ser.No 770rllj'l3.
NEW MET~,
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Size
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MIU Ser. No
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MIU Phone'
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Bldg. Type:
Port 1
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RPZ Installed Yes _ No -
RPZSer. No.
Service Size
"0 Type
Ground Yes _ No _
lead
Copper
Iron PiP""
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 Department during
normal working hours. Thank you for your cOQperation.
-----------------------
INSTAllATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANT'SSIGNATURE__J.. ~- ~'..u
DI\;TE '1/1 3 /07- PHONF 4'17- 3b/2-
form 90080 (4-93}
Copy 1 Customer
Copy3&4WD
Copy 2 WS
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