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Date
Time
Account
Name
Address
Account #
Meter Size
Meter SIN
MTU#
Check the
Following:
Comments:
MTU Installation Request Form
JULY 31,2007
ANYTIME
DONNA Y HOMES
2800 HAWK RIDGE RD NW
00731400
5/8
~ 3 J,t79ob
O/60J~? 't
(.../ Flow
v Meter Seal
/' Main On
SEAL METER & INSTALL MTU
JOE 763-238-5359
LB 980
Installed By: .E:P