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ACCOUNT #t --PO 19qq 0 ()
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OLD METER
NEW METER
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Digits
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ser.No'77o z,'11C;~
Reg. No.
Size
MIU Ser. N"
~~??73~
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MIU Phone #
Bldg. Type :
~ RPZ Installed Yes _ No_
Port 1
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RPZSer. No
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Service Size
Ground Yes~o_
COMMENTS:
Lead
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Copper Iron p,.," "
Please keep this receipt for your records. The final reading from your old water meter
will be used in determining your next regulat bill.
If you have any questions or problems. please contact the Water Department during
normal working hours. Thank you for your cooperation.
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INSTALLATlON,ACC, ~,B,~~~~1ERrr~jr"~,, L" W',,'R, E,., IN PL, ,ACE.
OCCUPANT'S SIGNATUR I '--f:j!J(()JI( _) .
DATE ~;.,.-/I~-()'" PH~_1~-~)
Form 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD