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New Meter Installation Request Form
Date It" I/PO j [:.-<~
Time f1r-r--
Account Name~ I ~l.i/JJ
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Address /53?iJ tv-U.ct Jwdu.'t ('k lJW
Account 00 ~ J, V c2 00
J k
Meter size _
Meter SIN 4-~ 8' /5 b 4->.
MTU# (!)C 57(*) ZBO
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Check the following:
Flow 1 Meter seal Y
Main on V
Comments
Installed by P P d >>/ $
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