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ACCOUNT #
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ADDRESS
OLD METER
NEW METER
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Ser. No. -, 1'f{/ b L/q 0
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Digits
Reg.No.
Size (/(
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14110 r
Reading t.-f 1 ') c.j.it:t{) X
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MIU Ser. N2J.h08~ %f 6111
1. MIU Phone#
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Service8ize
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Port 1
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RPZ Ser. No.
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Type
Lead_ copperK.... Iron Pipe_
Comments:
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Please keep this receipt for your recor~. 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 ACCEPTABl~~ MET
OCCUPANT'S SIGNATURE----i-/"Ia
DATEr;'!12J:J Z ,PHONE--4:!f6- 0..1#
From 90080 (4--;;rf '" Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
L WIRE IN PLACE.
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