Meter Swap � �����
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C�ty of Frfdley �
Water De��rtment
Address_ ��� �,4�` 4�S4-�P1 ��
Name� H-�,1,SZ"6l%� `��
0
Date �—�j`-d� ,
Old Meter Number �3 ���
.u-�,e-3 . , _ D`{
Old Meter Reading C ,,o.�,u,u
Replacement No.__ 3�a 5���j �
Replacement Reading �
Replacement Make
ERT#__ c��-1 ! 5��
v
Replacement ERT#
Remarks:_ `�L`�5� C'��'�j/1Q�/
Signed ✓��