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New Meter Installation Request Form
Date ~/13/{)3
Time /J;r7
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Account Name -r c t!8rtafr I fL;S/.. '-f&;3 - 78';L Y
Address /531/JC) Wcjb 0-~ !JW
Account # ()()( /)(;) hCV ./
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Meter size
Meter SIN 4~ 9 ) 7 ~ 23 CJ J
MTU# 0051D4-24-
Check the following:
Flow / Meter seal /
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Comments .pI LL i,1r;-)03
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Installed by F P d )?7 /!
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