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New Meter Installation Request F 01111
Date 7 / (( i 03
Time ~
Account Name~ Q {Jrj-(o'icfi-"
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Address 5(Jor~Op r'XN S&
Account DO iPd '7/ (){)
Meter size
,'5/ <i ' I
777t5ti'l76/
Meter SIN
MTU#--.OD~7oZ-U
Check the following:
Flow ---1/ Meter seal V
Main on /
Comments
Installed by F P c1 )/.7 _ E'