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New Meter Installation Request Form .
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Date 7 /c2f / 03 \Q .I
Time ~ IO/dO
Account Name I j Jj)/7WJJn[{ nrYJ
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Address
':3rJl3 PY-EtJb.tM/LLL Rdc; & J.iW
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Account
Meter size
67 fit
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MeterS/N 717 ~ 7 c> 37J
J
MTU# OQ~7~ 4-5' 0
Check the following:
Flow V Meter seal V
Main on V'
Comments
Installed by r ;P t/ ITJ~