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1\11" rO Installation. Request Form
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Met.er size I II r-r I. ,\ _\('-. ~ (" ()
Meter SIN 4-9 / L;~ 48 7
MTU # r) / (j 2--, --; <;" 4- 93
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Flow ~ Meter seal?-' Main on V
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COW1llen~ J/0/00
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Installed by F P