Meter Swap `
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City of Fridley
Water Department
Address � � �� 3 Y� S�
Name c,�' � /� t ,' T
Date � `l �-"'E� r/j
Old Meter Number ��"'�d
�� Old Meter Reading �� � ���J
, Replacement No. 3 �"0 / �' •�" ��
Replacement Reading �
� Replacement Make �c„d ,c,,� _
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�� ERT# �J � D � ���--
Replacement ERT#
Remarks: �/�'► � +-(� ,Ce£
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� Signed �
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