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ACCOUNT #
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ADDRESS
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OLD METER
NEW METER
Ser. No.
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Ser. No.
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1/
Digits Reg.No.
Reading.]) Z-- ~,~ qq ;:J... Size /
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MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Ves No
RPZ Ser. No.
Service Size "~
Ground vesa NO~
Type
Lead_ copper~on 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 CJfration.
INSTALLATION ACCEPTA~ ETER SEAL WIRE IN PLACE.
OCCUPANTS SI<rATURE
DATE .( /}' It) J. ~HONE
From 90080 (1-93) I Copy 1 C1Jstomer Copy 2 WS Copy 3 & 4 WD
.