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City of Fridley
Water Department
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Name �-.2-�
Date �—�'—t��
Old Meter Number
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Replacement Na �9 ������
Replacement Reading__�(��Z>d dLj1S
Replacement Make ,�,�,
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Replacement ERT# . q„�,AP
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Remarks: /�c�.�p��� ��,� � ���
Signed �_�'..�