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New Meter Installation Request Fouu
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Date" g / S-/O-~
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Time 0- 11--'1 f;;yytJ..-;
Account Name~
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Address 50/3 ~iJJ ~ $'
Account ()D0 ?:fPtCtJ .
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Meter size V 0
MeterSIN 117k7fJ~./
MTU#~~./? l">.~ ~ ~
Check the following:
Flow V Meter seal (' Main on/"
Comments
Installed by ;;:/? 4- IV ~