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ACCOUNT #
ADDRESS
OLD METER
Ser. No.
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,
Digits
Reading
MIU Ser. No.
",
MIU PhoneH
Bldg. Type:_
RPZ Installed Yes No
~rvice Size ''t
Ground Yes~_
Comments:
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NEW METER
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Ser. No. ~77 (p 'P.. tf- T)
Reg.No.
Size T;/6J 6 6q \
Port 1
2
RPZ Ser. No.
Type
Lead_ coppe~PiPe_
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 (..6operation.
INSTALLATION ACCEPTf;tE. 'ft.TER ~rrR SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATUREl-rtWfiJ }J~lJP'^-.
DATE 'J-21-'-b3 PHON~?olt".. -:...........??-........1~7
From 90080 (4-93) Copy 1 Customer Copy 2 WS ...:: 4 WD