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ACCOUNT #
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't200 C()/ov~~
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ADDRESS
OLD METER
NEW METER
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Reg.No.
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CJ70 (P; 0
Ser. No.
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Ser. No.
Digits
Reading
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
''% Type
Lead_ Copp~on Pipe_
Ground YesX No_
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 W~ter Department during
normal working hours. Thank you for your cooperation. '
INSTALLATION ACCEP~ WATER ME~E~ ~L WIRE IN PLACE.
OCCUPANT'S SIGNATURE ,~'-~^ \. O~
DATE'" 1)- / (P- D1 PHONE (,1:;..1 ~~ f1(;,r;-
From 90~ (4-93) Copy 1 Customer Copy 2 WS - Copy 3 & 4 WD