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New Meter Installation Request Form
Date ') (9 103
( -
Time ()nIAtErn/ ./
U
Account Name fJi/lft J
Address 5a]OJ 13~6 ~ ~ . Sf;'
Account IJO&a57{XJ
Meter size 51 g I {
MeterS/N 777 ((J (p98() /
MTU# 605~C(9~8
Check the following:
Flow / Meter seal V' Main on V'
Comments
'Installed bv F.? cd h?..#