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ACCOUNT #
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ADDRESS
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NEW METER
OLD METER
Ser. No.
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Reg.No.
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Digits
Readinp
MIU Ser. No.
MIU Phone#
Bldg. Type: Port 1 2
RPZ Installed Yes No RPZ Ser. No.
Service Size ''1 Type
Ground Ye~ No_ ~
lead_ Copp~~ Iron Pipe_,"
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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 ACCEPTABlE~E~.E ERR S SEEAAll '^ WIRE IN PLACE.
OCCUPANT'S SIGNATURE ~PJ -/~
PHONE Lflf7 - t; f t.f- J
DATE ) -J~..Q1
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From 90080 (4-93)
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Copy 1 Customer
Copy 2 WS
Copy3&4WD
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