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Date
Time
Account
Name
Address
Account #
Meter Size
Meter SIN
MTU#
Check the
Following:
MTU Installation Request Form
THURSDAY, AUGUST 23, 2007
9:00 A.M.
MEADOWBROOK BUILDERS
14288 WILDS OVLK NW
i \
\ '
00727600
I" 000/8;30,2- L-
~4-3~6llp
(];) / k..rJ ~9 ~~ 7
,./' Flow
/ Meter Seal
V Main On
Comments: INSTALL MTU & SEAL METER
RON WI SOUTH MECHANICAL
612-221-5995
LOCK BOX = 5965
Installed By: r r