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ACCOUNT #
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ADDRESS
OLD METER
NEW METER
Ser. No.
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Ser. No. 77" ~~<5 77
Digits
, Reg.No.
.g, IOF~ Size
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Readina
MIU Ser. No.
MIU Phone#
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Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size ''1
GroUndYe~NO_
Type
Lead_ Coppe~ Iron Pipe_
Comments:
Please keep this receipt for your records. The final reading from your old water meter
will be used in determining your !'text regular bill.
If you have any questions or problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATION AC\CEPT.. ABLE. WATER VTER SEAL WIRE I.N.. PLA. CEo
OCCUPANrS SIGNATUR; l c:. rr- W"'" f / J.tuK' .. .-:
DATE r; - Jf- 0 ? PHONE'-ftf{j~. ~
From 90080 (4-93) CoP9'1 Customer Copy 2 WS Copy 3 & 4 WD