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ACCOUNT #
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ADDRESS
OLD METER
NEW METER
Digits
Reading
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
''t Type
Lead_ Coppe~lron Pipe_
Ground Yes X 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.
INSTALLATI<)>N ACCEPTAB~.L\ 1ATER ME.T~. ~. SEAL WIR~ IN PLA. CEo
OCCUPANTS SIGNATURE ,/ ~ U'^^~ Y.J \\[J'L(' \ \ (j 1\.,- -
DATE '7 - Co -- 0 1 ,) PHON~ 'f'fl-i 11 '7 -
- I
From 90080 (4.93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
1