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New Meter Installation Request Form
Date
<i7 14 J r3
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(1\11 PLL
Time
Account Name-'.JJ.t /l/J/J"Y/ nf7
Address /1163 I'.a.a~ I<&J l!dl./tJ
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Account ()() &d7S1JO
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Meter size U 10
Meter SIN i 71? 0 ~ 4-44- -1.
MTU# 0052-8773
Check the following:
Flow V' Meter seal 1/ Main on /
Comments
Installed bLr p 4 n!3