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Water Meter
.. 1\111 'lJ Installation Request F 01111 Time X/fr%C; ,. a ~ IJm '/J.LA . . (J , Date Account Name ~ R. ~0LtuV'\ Address 17L/aS- l~MClN \5E (/ Account# 000 tJs"9C(J 6/ s If MeterS/N 7q /~fJOZ0 I MTU# (,CQ 53 ~ ~ Meter size -"'I(. Check the f~llowing: Flo./X. Meier seal A,- Msin 4 Comments PItA. 6/3 r()f)OCJ IS- 0 Installed bd~ / . ./