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New Meter Installation Request F 01111
Date 0 Jq 1(;3
I
Time OrifI1 (}@L'f)
U
Account Name &..k</Z.fJrna n
.I
Address 511~~ ~ ~ p./tJ
V
Account /Y) & rJ ?1X'OO
Meter size
O/t'l
Meter SIN
77 7~ ~ '17'"7'/
- --
MTU# Do57D3tf9-
Check the following:
Flow ---1...l Meter seal t/' Main on ~
Comments
Installed by F/~ 4 ,h; IS