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City of Fridley
Water ; attment
Address ���� ���/ �t ''
Name .S��i11� �a tvY!�T d�.
Date T�-'�� '" Z,�
Old Meter N d ,�
Old Meter R tn
Replacement No. �,:3� Z'-�,.3 g�
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Replacement Reading C�
Replacement Make ./� �r.c,,�
ERT# �G � �l�
Replacement ERT#
Remarks:_�/!�u�Z. �' D�
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