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New Meter Installation Request Form
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Account Name-Wwrnu ~~ r:;!t~
Address~0~- ~&2p~ Rcl~ QrJ- /JuJ
Account # 00 loJI g CXJ J
Date~tf.oJ,,..
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Time /(): /5 CUh
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Meter sizeJ 0
Meter SIN 77 7 t;.' f1 74- /
MTU# 00.5 r;., 9 q (,4-
Check the following:
Flow ~ Meter seal 1/'/ Main on y'
Comments IfLLM c:+- In It.{ bn~tllI.ia.titr I,
Installed by ;.::' P C h? j-g