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ACCOUNT #
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(6)
ADDRESS
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OLD METER
NEW METER
Ser. No.
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Ser. No.
Digits
Reg.No.
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Readino
MIU Ser. No.
Mru Phone#
Bldg. TYP_e:
Port 1
2
RPZ Installed Yes _ No _
RPZ Ser. No.
Service Size
Ground Yes ~NO_
''1 ( Type
. lead_ Coppek:' 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 cooperation.
INSTALLATION ACCEPTABLk\ WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE (. \~
DATE) - q -01 f () PHONE ';;)~~ ,. J t ') }
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From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD