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Reg.No.
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ACCOUNT #
ADDRESS
OLD,METER
Ser. No., :2. rCfLfVq b '1
Digits
Reading
MIU Ser. No.
MIU Phone#
Bldg. Type:
RPZ Installed Yes No
Service Size ''%
Ground Ye~NO_
Comments:
t .
@
,..-:-
11/
,
NEW METER
/
ser.No.J7 ~p 3'
Port 1
2
RPZ Ser. No.
Type
Lead_ copp~ Iron Pipe_
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.
OCCUPANT'S SIGNATURE ~,_ ~. rj~
DATE )., J-lJ -01 PHONE ~7- J J~}
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD
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