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Date
Time
Account
Name
Address
Account #
Meter Size
Meter SIN
MTU Installation Request Form
FRIDAY, MAY 18,2007
2:00 OPM OR ANYTIME THIS PM
SHEPHERD OF THE LAKE
SA~'E HAVEN
13780 MCKENNA RD NW
01146000
1~" ooO~~ Z~
(i617/ /3~
MTU # (!) I D G I~ g
Check the
Following:
/
V
J
Flow
Meter Seal
Main On
Comments: OKAY'D BY JIM.
Installed By: _s;x:~
, .~
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