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MTU Installation. Request Form
Date
1/13/tJ5- ..
/ J.' (O
Time
AccoWlt Name JJ.ro I'll: \ ~"J1. JU.-<..fl{) )
Address i 001 )/(1 iiL U i [.u.) 0.
ACCOWlt # () () h f J CCO
Meter size 5/3 II p., Q"\ ~e ~ / ()
MeterS/N 800855"'9()
MTU# t)00BB13~-)
Check the followihg:
Flow /~. Meter seal L/
.,.
. /
Maw on 1/
Comments 11 /) ~ / {)L!
I ~
(! hie) ~)/ ,53&;6
Installed by F P t P /I
9/1/)/1>[.
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