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ACCOUNT #
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ADDRESS
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Ser. No.
NEW METER
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OLD METER
Digits
Reading
MIU Ser. No.
MIU Phone#
Bldg. Type:
2
Port 1
RPZ Installed Yes
RPZ Ser. No.
No
Service Size
~
Type
Lead_ Copper~on Pipe_
Ground Yes K- No-.:.:::
I
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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 ACCEPTABlrlATER METE,SEAl WIRE IN PLACE.
OCCUPANTS SIGNATUr_E./~ ( /l~ _.
DATE 4- -;; ) -- O\i / PHO~ LflffJd-O (,tf
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD