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MTU Installation Request Form
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Date D 5//4 I D l/ (.A )1al)LJ daltJ--,
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Time U171 t Iru
Account Name fti/l-t-LLfJ 6 iJf/rr~
Address Salls~,.J~ ~ lJuJ
Account # f){) tJ 5" 00 DO
Meter size
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/ ~c:5~ 140
Meter SIN 4- f:~ 7 & r; 5 3 f5
,y
MTU# eJCJ~8 B74-L
Check the following:
Flow J/ Meter seal V
Main on V
Comments
~D ~ kl "3 D >c / JJ C
Installed by F"' P