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ACCOUNT # /J () '('" t c:;- ex [}D.
ADDREss-b 5" <.......... \:k.\ \, ,V . P l
._OI,.P MEIER /VI f/l'; , l/l\ V", t"WEw METER
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Ser.No.~b/O bf{J
Digit~ /
ReadingLcf 0 .<..{.b 0 .
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Ale-
ser.No.-:>"1Q"2- qfc~S- /
Reg. No. .
Size ~x
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MIU Ser. Nn
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MIU Phone #
~ Bldg. Type:
RPZ Installed Yes _ No _
Service Size
Ground Yes "'NO _
COMMENTS: 0.- bQ'V'oot
Port 1
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RPZSer. No
"0 Type
M-W-
Lead
Copper --J( Iron PI"..
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 cOQperation.
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INSTALLATION ACCEPTABLE. WATER MET
OCCUPANT'S SIGNATURE -rn (J IA : f ~
DATE cr - ("1- 0'2- P ON';'"'~5''-''~'''
Form 90080 (4-93)
Copy 1 Cuslomer
Copy 2 WS
Copy3&4WD
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