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ADDRESS
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ACCOUNT #
OLD METER
j"W METER
Ser. No.
~7 51fS;J.71
Ser. No.
77(p'J..~~r()
MIU Ser. No.
::l'~ (, ~ q 1) /:/ Size
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Reg.No.
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Digits
Readinp
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes _ No _
RPZ Ser. No.
Service Size
Ground Yes ~o_
"11
Type
Lead_ Copper~n Pipe_
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 foryour cooperation.
OCCUPANT'S SIGNATURE
DATE If _). ) .... 0 ~
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
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PHONE LlC{J> - J '-H {l
Copy 2 WS Copy 3 & 4 WD
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Copy 1 Customer
From 90080 (4-93)