HomeMy WebLinkAboutWater Meter
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ACCOUNT #
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NEW METER
ADDRESS
OLD METER
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Ser. No. ~ ((1~ 0 77) 7ser. No.~ -; (;;(4 :(~
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MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
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Ground Yes~~
RPZ Ser. No.
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Type
Lead_ copp~n 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 ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
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PHONE l.f Cf7 r- ! ~ ~ (
Copy 2 WS Copy 3 & 4 WD
OCCUPANTS SIGNATURE
DATE S -]9 -' 01
From 900110 (4-93) Copy 1'Customer
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