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New Meter Installation Request Form . ~
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Address /7l70 ~Uj.l'.L (1.6r
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Meter size 0 l'l
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Meter S/N-2-'7 7 ~ 7 () 4-(') /
MTU# 0026990 2--
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Check the,oll wing:
Flow J Meter seal
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Comments
Installed by pp 1- h7__;:$