Meter Swap �i `�s
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�f City of Fridley �-IS����
Water Departmex�t
Address 7 �I�� 1 �t�1T d Z d1►� ��-
Name ��`i'L , �� �Y�/1 L�3
Date p ► '� ZS
Old Meter Number � � � � ����
Old Meter Reading � � ) � p �
Replacement Na 1 ��LI ��
Replacement Reading �
Replacement Make �����
ERT# ���� 1 1 � I
Replacement ERT#
Remar�cs: �`�" ��� ��°
l Signed ��
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