Meter Swap ./''� ��'�z(-'►�`�' _
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Water De.parhnent
Address ��I .�l�Q j�,�q�,
Name �� 3-a ��, /1,���k
Date � � ` � (3
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Old Meter Nu � ! 3 ��
q4s3 0�
Old Meter Re ' g
Replacement No._ 3� � �� �J �...
Replacement Reading �
Replacement Make � �...�
ERT# �- � �� �'
' Replacement ERT#
Remarks: /'� /1.1,n,
Signed
39 � �