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Digits.
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Reg.No.
Size ~/~ / ~
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MIUSer. No.
MIU Phone#
I Bldg. lYpe:
RPZ Installed Yes _ No _
. Port 1
2
RPZ Ser. No.
Service Size
,"11 lYpe
Ground Yes _ No_
Lead_ Copper_ Iron Pipe_
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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.
I; you have any questions or problems, please conlactlhe Water Deparbnent during
normal working hours. Thank you for your..... ...,.!naUon.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE
DATE
Ftom 8OOBO (4-113)
Copy 1 Customer
,PHONE '1110 -79'73
Copy2WS Copy3&4WD