Meter Swap �� � ���
� ,�y�
���� City of Fridley
Water Department
Address � � ��x� i,.�c�--�(
� Name J�SSiC� �X 2..
Date (�'l�l�
Old Meter Number , L
Old Meter Reading �
(,�y,,0� Replacement No. �
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Replacement Reading �
R lacement Make d c��
ERT# a� 2. ��� Z ?�_
i
Replacement ERT#
Remarks:
!�(D Signed