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ACCOUNU'
ADDRESS
OLD METER
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NEW METER
Ser. No
770.1 O()S"~/
Reg. No.
Size S)!l,'X ~ Ly
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MIU Ser. No
JC5~9!o /
MIU Phone #
Bldg. Type:
RPZ Installed Yes _ No _
Service Size
Ground Yes ~ No _
COMMENTS: [0 ,~
Port 1
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Please keep this receipt for your records. The final reading from your old water meter
will be U$ed in determining your next regular bill. 1
If you have any questions or problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
RPZSer. No
"0 Type
Lead
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coppero..{- Iron Pip'"
c.~ Wr.._ / I
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Or INSTALLATION ACCEPTAl~.
OCCUPANT'S SIGNATURF
DATE~-(2'Ov
Form 90080 (4-931 Copy 1 Customer
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Copy2WS Copy 3 &4WD