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ACCOUNT #
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ADDRESS
OLD METER
NEW METER
Ser. No.
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. Reg.No.
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Digits
Readina
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size / '~
Ground YeSXNO_
Type
Lead_ Copper X Iron Pipe~
Comments:
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 co Reration.
INSTALLATION ACCEPTABLE. ~ ~METER E Eo IN PLACE.
OCCUPANT'S SIGNATURE ;/;_
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