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ACCOUNT # (;O~t.t<7''1<; 00 J(
ADORessd~~~q- tv; Mevl! Rss7v )E
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Ser. No.
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NEW METER
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(Cf-f <<;) ~d;;;
OLD METER
Ser. No.
:~ 170)00 ::l :NO<'ri (~d!bql
MIU Ser. No., 00)(0 5 ;271
MIU PhQo$#:,
J3ldg. Type:
RPZ h,staIled Yes ____ No ~'
Port 1
2
RPZ Ser. No.
Service Size
Ground Yes 1:( No-,--:
Comments:
\ ,.
. Please keep this receipt for your records. The final reSding from your oldwateqneter
will be used in determining you!' next regular bill.
If you have any que$tiOns or.prob!em~,please contact the Water Department during
normal workjng-hours. Thank YOll for your cooperation.
,",OCCUPANT'S'SIGNATURE
. DATE I04J6~_.::_'
From 90080 (4-913) Copy 1 Customer .
INSTALLATION ACCEP'FA6LE. WATER. METER EAL WIRE IN PLACE.
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~HONE~<41-q~15
-Copy2WS
Copy3&4WD
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