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ACCOUNT #
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ADDRESS L/f1~ BaCLc..h Sf N~ ,/1
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OLD Mt:. I t:.R
NEW METER
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Ser.No. ~8 2b9 7z6.
Ser. No.
Digits ..
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Reg.No.
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MIU Ser. No.. ~ ,~I 0 .3 6 ~.
MIU Phone#.
Bldg. Type:
Port 1
2
RPZ Installed Yes _ No _
RPZ Ser. No.
Service Size
"If
Type
Ground Yes _ No_
Lead_ Copper_ Iron Pipe_
f?omment~:~Ul~vpJ
Please keep this receipt for your records. The final reading from your old water meter
wl\l 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.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE
DATE. }{~j -03
From 90060 (4-93)
Copy 1 Customer
PHONE
Copy 2 W5
Copy3&4WD