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New Meter Installation Request Form
Date ~/ jCj J()3
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Time Ofu Yl aJ- 1;w
Account Name LJ//J1/Jrrtinn
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Address 311':) Rfg11/MaV- /JuJ
Account {)()~arpj(f)
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Meter size v /0
MeterS/N 7; 9 ()~5' /
MTU# 005 t,981JI-/
Check the following:
Flow~Meter seal V--
Main on YO
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10 ~tJI
Comments
Installed bv /1l,P t ~?