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New Meter Installation Request Form
Date
71e>>. /03
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Time ChrnL tr/fl1..1.../ fJrri
Account Name JnC!.. .f1rno .Ld~
Address IS3C/~ IJ~ ~ vtU
Account ~dfd(X)
Meter size
/1(
Meter SIN
4-8$1155~
MTU# 0(") ~" 6lCj74
Check the following:
Flow 1/ Meter seal V Main on /
...
Comments
Installed by ,j:::'/~ 4 I?(,.. 15