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Date
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Account
Name
Address
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Meter Size
Meter SIN
MTU#
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Installed By:
MTU Installation Request Form
THURSDAY, AUGUST 23, 2007
11:00 A.M.
GEROLD BROS HOMES
13814 KENSINGTON AVE NE
00730200
5/8" 0 c:> a Q C/-~ D J 4-"2-
8:32-/9'96/
, '
61 ~ LJ29ZB
---L Flow
~ Meter Seal
/ Main On
INSTALL MTU & SEAL METER
LOCK BOX = 1704
REQSTD BY SCOTT @ 952-290-3637
I-~~