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ACCOUNT #
ADDRESS
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O~D-METER
Ser. No.
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Digits
Reg.No.
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MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
RPZ Installed Yes
No
RPZ Ser. No.
Service Size_
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ler
Ground Yes ~.. No_
Type
Lead_ coppe~
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Iron Pipe_ I'
Please keep this receipt for your records. The final reading from your old water meter
will be~sed in determining your next regular bill.
If you h~e any questions or problems, please contact the Water Department during
normal working hours; Thank you for your cooperation.
INSTALlATION ACC~PTAB7LE ATER, METER SEAL WIRE IN PLACE.
OCCUPANT'SSIGNAT~ "(', " "'~
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DATE 10 - /2.-0"1- Pi:toNE U<J ,,"- ~-, II
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
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Copy3&4WD
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