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ACCOUNT #
ADDRESS
OLD METER
(
Digits
Reading
MIU Ser. No.
MIU Phone#
(2)
NEW METER
r'
Ser. No.
Bldg. Type:
2
RPZ Installed Yes No
Service Size ''t
Ground vesXNo_
Comments:
Port 1
RPZ Ser. No.
Type
lead_ copperkiron 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.
R ME' fR pL WIRE IN PLACE.
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PHONE'+'1~ -C(7 Jr-
Copy 2 WS Copy 3 & 4 WD
INSTALLATION ACCEPTABl
OCCUPANT'S SIGNATURE
DATE r; -1L,- tfJ
From 90080 (4-93) Copy 1 Customer