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New Meter Installation Request Form
Time
&ja,5/03
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Account Name 'ILk> c!Jen~
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Date
Address ~ ~ll(ti 6A ~
Account # 00 V ~45T)n
K/8 II
Meter size v I
MeterSIN 77 9tfJ ~ ,11 J l/
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MTU# {)oS/r, 99'17
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Check the following:
Flow 1/' Meter seal 1/ Main on ~
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Comments
Installed by F P 4! H7 P?
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