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Water Meter
lV.rl'lJ Installation_Request Form Time ~/ ;;(0 /O~ . . - a_ t"fLj II rrtL ..- Dale Account Name.i1JaJt/rrf~ n ~ lJ(/yyl.L(J - . AWhes~ J 1,/39/ tf/ncJJL(Ju 6t Al0 AccoWlt.# ()f) '71t.(CftJO I I( Meter size CD.XXI00 Meter SIN 4 q h ""< q P0 ~ . MTU#' ()6~S'- Check lhe followihg: Flow L / MeLer seal /" Main o~ "; Comments 5l! ( /00 ttx.LbO/i lb 19R3 ~cfe.w Id.,itl~~n~ Iualalled by-t;