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New Meter Installation Request Form
Date Ie) / /0) 03
Time /; n If.uJAA ~ A1v'I
AccountName ~1Jjfj) II~
Address 15 36 f ~JIALY fJ/J/X} ilu)
Account OO~:itJC;aJ
Meter size
5/5/1
MeterS/N 719{)W77
MTU# (5~~70
Check the following:
Flow)( Meter seal A Main on X
.
Comments OC/t9C!J Z.J /7
/
Installed by d d
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