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ADDRESS
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ACCOUNT# ()~a{)V{l)
OLD MJ: I J:R
NEW MJ: I J:R.
Ser. No.
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Ser. No. 7/ 9Cf.+3 27
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Reg.No.
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Size -t /f/~P / ~.o
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MIU Ser. No.
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MIU Phone#
Bldg. Type:
'Port 1
2
RPZ Installed Yes _ No _
RPZ Ser. No.
Service Size
"J11 Type
Ground Yes _ No_
lead_ Copper_ Iron Pipe_
Comments:
, 573? /t8
Please keep this receipt for your records. The final reading from your old water meter
will be used In detennlnlng your next regular bill.
I; you have any quesUons or problems, please contact the Water Department during
normal working hours. Thank you for your cooperaUon.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANrs SIGNATURE
DAT~ oJ< /5-- 0 ;,
Frvm 80080 (4-93) Copy 1 Customer
PHONE
Copy 2 WS
Copy3&4WD