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New Meter Installation Request Form
Date &( :2&/03
Time ~'-(0) 17 OOil
Account Name cln:tu; ~
Address CJ3gfL ~1tJiU..t'AIL1.t /1V:h )JuJ
00 ~ d 1../ g()j .
Account #
Meter SIN
67rJ(
77 eye; 5 () 2'8 ),
Meter size
MTU# 00 ~ 7 02-4-0
Check the following:
Flow 1,,.// Meter seal V Main on /v cY
Comments
Installed by r? if >>1 B