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ACCOUNT #
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ADDRESS
Digits
JEW METER
-:17gtg '30::2..ser.Noo 72/p;Q~7J I
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OLD METER
Ser, No.
Reading
--MIU Ser, No,
MIU Phone#
''-.,
Bldg, Type:
Port ,1
2
RPZ Installed Yes No
RPZ Ser, No,
Service Size "~
Ground Yes ~_
Type
Lead_ C~pp~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 WI IN PLACE.
OCCUPANT'S SIGNATURE
DATE 7'- r -- 0;
From 90080 (4-93) Copy 1 Customer
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