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ACCOUNT #
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ID
ADDRESS
Dr.
OLD METER
NEW METER
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Ser. No. ~~ (_~~\
Digits --"\
Reading-hD7-jlO ~).x
Ser. No.
Reg.No.J 1b
Size ry-1f-
MIU Ser. No.
5/D!I1-
MIU Phone#
Bldg. Type:
Port 1
2
RPZ. Installed Yes _ No _
RPZ Ser. No.
Service Size
. ''ff
Type
lead_ copperb. Iron Pipe_
Ground Yes 'A- No_
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 problf'~s. please contact the Water Department during
normal working hours. Thank you f) your cooperation.
INSTALLATION ACCEPTAB.
. PHONE
Copy 2 WS
DATE
Copy3&4WD
Copy 1 Customer