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HomeMy WebLinkAboutWater Meter New Meter Installation Request Form Date 7 /~4/03 , . Time AccountName-.L1~ es..tJ fff L Meter size ./ J~?iJf POA1c ~ 6 OOI~7CXJ , 5(g" Address Account Meter SIN 11111& 7fXX) / MTU#nO 5704-5t; Check thyollowing: FlowV Meter seal ~ Main on v---' Comments Installed by': P 4 f/7 [3