Meter Swap �� ,
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Water Department
Address ��� �,r�����/y,
Name �"'�
Date ���o13-C) g
Old Meter Number d C-
Old Meter Readin C�
Replacement No. 3�j� iZ�,��(�
Replacement Reading �
Replacement Make��C'�
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Replacement ERT# �
Remarks: �7� •�Q �,
Signed �'
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