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City of Fridley
Water Deparhnent
Ac'.aress J��C��� � ��'`'rs"r�,C) ���
Name G�e'i �H ��-�-���`.i^����,'�
Date /p-."Z� '� 7
Old Meter Number � ,��_
Old Meter Reading � � (��
Replacement No. �`Z-�O��s�/
Replacement Reading O
Replacement Make��'� -
ERT# ��f )3 9-Z�
Replacement ERT# ''
Remarks: �� � �ti..�n
Signed� � ��