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ACCOUNT #
ADDRESS
OLD METER
NEW METER
Reg. No.
Ser. No.
~6q ~'1 , 9 )/ Ser. No.
Digits
Readlng-l,,-<)7 0 /
MIU Ser. No.
1S~7
MIU Phone #
Size
S7
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1
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Bldg. Type:
RPZ Installed Ves _ No _
Service Size
Ground vesi No_
COMMENTS:
Port 1
2
"0
Type
lead____ copper~
Iron Pipe_
Copy 2 WS
Copy3&4WD
RPZSer. No.
Please keep this receiptforyour 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 cOQperation.
..
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INSTAllATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE ."K i!, p.--L.I
DATE 9 /12 It? 2. ,'.. PHONE
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Form 90080 (4-93) Copy 1 Customer
1
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