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MTU Installation Request Form
Date
Time
MONDAY, JULY 16,2007
8:00 AM
MATTHEWBIRT
Account
Name
Address 1980 LAKEVIEW DR
Account # 00729600 ~/
Meter Size 5L8" (> Oe~ :5<:)t;::)./
MeterSIN BG0J~97/
MTU# OI5A?:>S~~ /
/
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t./
Check the
Following:
Flow
Meter Seal
Main On
Comments: LLOYD - 612-919-1658
Installed By: -j- :;
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