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ACCOUNT #
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ADDRESS
OLD METER
NEW METER
ser.No.5).'-f1<<fpg 30 Ser.! 77?-:2~'101
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MIU Ser. No. ~ 70 ,) r;, "2.
Digits
Reading
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
Ground YesXNo_
'~
Type
lead_ Copper~n 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 ACCEPTABLE. WATER M~ER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE 6WrVJ6. ~..l'~~,q
DATE t:; -" ((1 -- rJ}) PHONEJ.fJt6 - L/ if 72
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD