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ACCOUNT #
~:200
ADDRESS
OLD METER
NEW METER
Ser. No.
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Ser.No. ry10<%f4 /'.
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Digits
Reg. No.
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Size
Reading
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MIU Ser. No. 00 ~'tt200
MIU Phone #
Bldg. Type :
Port 1
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RPZ Install
RPZSer. No
Service Size Type
Ground Yes ~o _ Lead copper/;ron Pipe
COMMENTS: 1 r__ ,) _y' ~
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. Thank you for your cOQP8ration.
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INSTALLATION ACCEP.TABLE. WAT.ER 11E.fR SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE,.. ~ f ..... .- ~ '_~
DATE I ~ ~~t"Oz- PHONF ..~.....~...
Form 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WDJ