Meter Swap /� L�} /_4�''�[ I UU .
� �� City of Fridley ���� �
Water De�artment ��
��-r1',�
Address ,� � � � �Y�� ��
Name �q� C� 1-1 c� �, n h
Date I � � �—� /
Old Meter Number ( ���l Q / �v
Old Meter Reading 3 v �'
Replacement N��� !J�e� 9$I 6 0� �o,�
Replacement Reading
Replacement Make !� � � r
ERT# D 6 I 1 3 1 � I
Replacement ERT#
Remarks: �"
_ �
Signe
�� 3J �� .
r�
� � � �r����._