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New Meter Installation Request F OUll
1
Date'
9//1 Ill]
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Time {9jH j 7 (l.t ) /'t() ft7J '\
Account Name D. k Ucn;f{ft)
Address 61)iA3 fb4 ~ (J{ !1 u6
CO~1WdrJ ./
Account
Meter SIN
5It"
7 790 G,l.f~~) j
Meter size
MTU# ro,~ 7t./3'7
/
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Check ~OWing:
Flow Meter seal
J/
Main on
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Comments
Installed by ~S ~ y ~
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