Loading...
Meter Swap k � � � i " 33 j '�' a�l�'=:q ti �;�.�"�' '€�� `s.�� a,,,,� ,e. �qs.. .:��h': � .�v' `�' ,•� City o! Fridley �tater D��ar�meat Address ���� ����11�j�i.� Name `����t� �("�LrJ'TT� Data_ �-,�`j'd� � Old Meter Number ( � Old Meter Reading �d ,' Replacement No. � Replacement Reading � Replacement Make � Remarks• /� /� �' Signed � �i��� INS AL ON cl��L�L, 1 v.NOF AUTOMATIC METER REQDER FRIDLEY Address � ;� G`��Tb� �, ,, Name ���5 i �� �C�4 C�j"T'-�,fYY�i.� Date � `���1--1\ Old Meter Number �� ��� , Old Meter Reading Replacement No."`.�M����� �Y Replacement Reading � Replacement Make �a�c�(�� ERT# �������r7�.,, ✓ Replacement ERT# Remarks: c���� Signed: , Req��t fc�r Ser�ric�e R+��p►vrt , Ci#y af Fndl�:y ��,�t�: s�art-��-��a ���: �trz�,2o1� Req�,e� T,r�� �St�l�AMR�,.ec� �er�d By: wendy F��t [��tme�t: V41ate� Catize���ur�e: J � �a�r+� Address� 5720 Wl�HiNGTUN �ST ME a�s Phane: 763-574J456 S� Qate_ 11I2311�11 2��1 PM �� , Pr�zperty(h��: Locatir�n C3et�►1s; � U�eta��= Insta�A�MR ���� � A�tion T�: � � ; f � ��� (��� �-�� E � ; � � � ; `��a� ��.o�=���--- �� ,��,� ����-- �o��,�,�7� ; ��� �{ � ��� ['wV�� �-t'- � /^ _nf J I C'�'h�r� 3 �i� ��1� � ; � i � 1.�-�-�"-� � .� � � � �� �������� � _ _ _ . Re;sp�r��Pe�: A�p�ve�: �it�Date: � � �t zen Not�'�ed : 1-- �`� _ ' - � �