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ACCOUNT #
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OLD METER Lv. ~ f e ~^' NEW METER
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'S~L/>9'f3 Ser. No. ;J / ~/
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ADDRESS
Ser. No.
MIU Ser. No.
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\< "~ '70
Reg.No.
Size
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
Ground Yes ~o_
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Type
Lead_ copperpllron Pipe_
Comments:
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Please keep this receipt for your records. The final rea~g from your old water meter
will be used in determining your next regular bill. \, .
If you have any questions or problems, please contact th\,water Department during
normal working hours. Thank you for your cooperation. '
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INSTALLATION ACCEPTABLE. WATER METER SE~IRE IN PLACE.
OCCUPANT'S SIGNATURE~ \. ~ ~~ )...J> ~
DATE r12,0 J () '3 PHONE Y tJ 0 :..)) V Co
From 9ooa&' (4-93) I Copy 1 Customer Copy 2 WS Copy 3 & ~~D
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