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N11'LJ Installation, Request F oJ. 111
Date
Q/.) { ! Li{f .,
~~aJti1 UtnLh
Time
Account Name 1> e 4Jez.-fun
Address 17l/J/~~r1 fJz Sf'
Account # (}7J(;7070D ~.'
Meter size
678 J{
06~~/DO
}
MeterSIN /91 397(J-
I .
MTU# ~b CP~8~,~
Check the fol~owing:
FIOW_~/ Meter seal V" Main on V
Comments
Installed by ~.p d /??-/I