2001_0808 WORK ORDER
Date I W 0 1 Account #
Turn On Final Leave On Turn Off
Beginning Reading Date Deposit Date
Address 161 1 ck 4;5
�
Name on Account CarrNQv\ 4)/4,1E5
Moved Out
Forwarding Address
Drivers License #1 Daytime Phone
Drivers License #2 Evening Phone
Deposit Amount Receipt #
°tap new
Meter # g.6 L i /533 r, ete. L i- gqReading I �j
Meter Reading Initials Date of Reading
Final Reading Date By
Services
Water Sewer Garbage
Water Tap Sewer Tap Meter
Water Avail. Sewer Avail. Final Inspect.
Comments
Check Code
White — Building Inspections Canary — Water Utilities Pink — Water Billing