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ADDRESS J! 13 Il JtJtJ..1. P{JIJO IJ uJ
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OLD METER
NEW METER
Ser. No.
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Ser. NO.-:Ll-.~ t} 2- /!J
Digits
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Reg.No.
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Size ~ AJ r;)~7 t.v a:e.-
MIU Ser. No. 005_ 3 06 7.. .~1
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
'~ Type
Ground Yes
No_
lead_ Copper_ Iron Pipe_
Comments:
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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
DATE ~-~-d.~
PHONE
Copy 2 WS
Copy3&4WD
From 90080 (4-93)
Copy 1 Customer
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