Meter Swap C� ����' S�
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V Water Department
' Address ,�j (�� ����fl
Name OM ��U S��
Date �—��"t �
Old Meter Number � ! � ` (�o�
Old Meter Reading � �
Replacement No. '���� �����
Replacement Reading �
Replacement Make `.��GC�-
.�RT# (��� � l.� ! �S -.
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Re lacement ERT# iq.5't�33�i�
Remarks � ���' G� �
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Signed