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OLD METER NEW METER
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~ ~~1~ Ser. No. 71J-al/ h ~~
Reg.No. . _
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ACCOUNT #
ADDRESS
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Ser. No.
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MIU Ser. No.
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MIU Phone#
Bldg. Type:
RPZ Installed Yes
No
Service Size
Ground Yes _, ~NO_
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Port 1
2
RPZ Ser. No.
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''11 Type
Lead_ copperj)(lron Pipe_
Comments:
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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 cooperation.
INSTAl-LATION ACCEPT~~R METE~EAL WIRE IN PLACE.__
OCCUPANT'S SIGNATURE ~ .
/0-1< .LOV
DATE
From 90080 (4-93)
Copy 1 Customer
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PHONE YY~-6()i <7
Copy 2 WS
Copy3&4WD