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New Meter Installation Request Form
Date
t//<1/03
Ih2tn at ?'J.'t-V
I
Time
Account Name~nj/1
Address:35&O R.d:;JJ. r::t::i.I.JO A.1t..J
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Account -'fJ~1f;,{JO'
Meter size
5/[1/
Meter SIN
7710~4--lj v\
/YJ5 (p 1e Z- 3
MTU#
Check thrllOWing:
Flow II Meter seal
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Main on V
Comments
Installed by-'lln ff F P
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