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City of Fridley
Water Degartment
Address c}`�� �-1� �
Name ���' �[y�U�
Date ����
Old Meter Number � �� / "°F�
Old Meter Reading ���I ��
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Replacement No._ ��� g�j� ��
, �Replacement Reading
Replacement Make ���
Remarks: �j"'�Q�D /���
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S igned
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�Q!1.�3�� City of Fridley
Water De artmen ��ST
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Address � � �/�`-P
Name� �L'�2. ��P�-c/,��
Date � ����v
Old Meter Number �5
Old Meter Reading
Replacement No.
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j�/�`� Replacement Reading d
Replacement Make �'�'
ERT# � !,
Replacement ERT#
Remarks: �?�� •
� �,�,/ Signed ���
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