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Tony,
That depends on the wheel you have.
Most Monarch II trikes had a 5-spoke (either silver or chrome) wheel that had a plastic cap with 2 allen screws securing it.
The cap had 3 phony screw and 2 real ones (stainless).
Cap is very brittle so be careful and not over-tightem screws.
I would take a small o-ring and place it on the screw before inserting through the cap.
Post a picture.