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ACCOUNT #
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17QrOO -J(@)
l7-::{~ ft, ~/:2J)'" '&
ADDRESS
OLD METER
NEW METER
Ser. No.
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If CO L7 -;;) () () Ser. NO.1J 7ft; ';)~ r'f Cf
Reg.No.
)~ Size ~//;/O bq I
)70 ~o/_
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Digits
Readinp
MIU Ser. No.
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MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
""
Service Size
Ground Yes >>0_
''t
-Type
1"'
lead_ copper,.,~ Pipe_
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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 ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE X~ ,,^~,,^-I 'Jo.J
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DATE ti r :J- <6 --07 PHONE ~'i;- 4(<((; - Xq/:?
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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