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Water Meter
NITlJ Installation Request Form Date )eJ./IS-/CLj .. (t/fU--, t;:7}~ () AccolUlt Name / I .it n/d/Y7 () 1'7 11 4J Dm.v.u Address / L/ 17C; I~Llct:J ac):ii !JLJ Time AccolUlt# rJ)&; gD::Y)~J 6l~I' MeterS/N fq I ~q0 5~ - , - MTU# Or'YC/gg ~II Meter size (?OC/oo1.0 Check the following: Flow ~. Meter seal / ( ( Main on Y- Comments a/C? /OC/ I ' / Installed by :;:/r / /II /Y/ /