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New Meter Installation Request Form ~
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Date ~ f() 1;)(1 03
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Time ClO 1v/\ \ l ~ O() 11 ~f),p'Ttvt tyJLl\A*
Account Name 7n~ {) LYJCL1L
Address /L/1~~ Uum~ ~ AJvJ
Account lJo h 3 J7 ~Oi) -./
Meter size
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MeterS/N 4?CJz..3708 J
MTU# oQ505' 97
Check the following:
Flow/ Meter seal 1/
Main on V
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Comments
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Installed by. /I?.6' tj. /?
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