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ADDRESS
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)tJCf I ),n---:~J Lake
NEW METER
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2f!10~701 Ser.No. 77(iJ'J.~
." '. :.X Reg.No.
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ACCOUNT #
OLD METER
Ser. No.
Digits
Reading
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size ''t
Type
Lead_ copp~n Pipe~
Ground Ye&-~No_
Comments:
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 ACCE~WATER ~~ S~f'lf.'IRE IN PLACE.
OCCUPANrSSIGNATUR~/JJ}j).{ ,J Y"~
DATE (' ~ 1- n ~; PHONE tff()- J t!-~ Q..
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From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD