Meter Swap �l,c, �'"7'j'��'�(,L�
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}��� '�' City of Fridley
L'��"� Water Deparhnent
Address � � �1 Qv`�� ��r
Name�u Sc.�,Y'�,� �,e t1 5'�01,��2.y
Date � - l 5'-� 6
Old Meter Number �7 b ��3 7
Old Meter Readin ��� 7�
Replacement No.�� $ 5 "7? �"'��
Replacement Reading �
Replacement Make ����F.��
ERT# �a t�� v��S ��
Replacement ERT#
Remarks:
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Signed��
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