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ACCOUNT #
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ADDRESS
OLD METER
Ser. No.
NEW METER
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peg.No.
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Digits
Readina
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
~N~S~ ~
Ground Yes ~:--
Type
Lead_ COPp~lron Pipe_
Comments:
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.
INSTALLATION ACCEPTA~. ~ER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE ' ~r /
DATE '1 /'7..V J 0 ~
From 90080 (4-93)
Copy 1 Customer
PHONE
Copy 2 WS
Copy3&4WD