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New Meter Installation Request Form
Date 7/ {( I ()3
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Time I ( '. ~ - I d : OU
Account Name f6rvd ct \.)lvY/YJ ~/~dorYV.J:l-")
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Address c<f/S-~~0- ~ RcLSV
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Account OtJOllr;/ltJO
Meter size
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7771/1!?9~9 /
Meter SIN
MTU# CJo5' 7 CJ 2-) q
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Check the following:
Flow ~Meter seal V
Main on ~
Comments ~:' ~ 3LQ3
Installed by /:;-_p d h A