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lVl-l"U Installation_Request Form
Date 3!30/~
Time
Account Name fbrJUCUL thu.~ C/ ~
. U 0
Address /7l./rQ ~~A7/lLJ ~
Account.# ()O &~1C)OO
Meter size 5/ f if () 004-7..-? D
MeterS/N 930085;:'50
MTU# 0 o6B8G ~q
Check the f?llowihg:
Flow V Meler seal V Main on V
Comments
hlstalled by P,I-I d r,~
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