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ACCOUNT # ~~ ~
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ADDRESS '17"(''1 ~1J~.1~/1~~
OLD METER
NEW METER
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SeT. No:
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Reg. No.
Size .~A'
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Bldg. Type :
Port 1
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RPZ Installed Ves _ No _
RPZSer. Nn
Servlce.Size
Ground Ves -atNo _
"0 Type
Lead
Copper ~ Iron Pi~
COMMENTS'
Please keep this receipt for your records. The final reading from your old water meter
wilt 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.
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INSTALLATION ACCEPT* ~Ad METER SEAL WIRE I P~:J1 /
OCCUPANT'S SIGNATURE ~ ~~
DATE !J - /t-O ~ HONF -
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Form 90080 (4-93) Copy 1 CUstomer Copy 2 WS Copy 3 & 4 WD
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