2012_0104T X[• C I T Y O R
COPPELL
r o
WOWA -11 -4640
Department of Public Works
Initial Date: December 05, 2011
Final Date:
W1 Created By:
Water
Replace Meter
Name
Lyndal Thomas (H)
❑ Left Door Knocker
New Meter #
Water Billing (W)
❑ Spoke to Resident
Address
519 Gifford Dr
❑ Called Resident
Cross Street
Notify Water Billing
Location
Meter
Description Meter Stuck
Office Comments
Assigned To Atesek4sksan
Personnel Assigned Hours
Field Comments:
Quantity Parts - Equipment Used
s /c �}
Signature: Date: j - -/1 Time:
P.O. Box 9478 - 816 S. Coppell Rd - Coppell, TX 75019 - Phone (972) 462 -5150 - Fax (972) 462 -5199
Old Meter #
Reading
S S'
New Meter #
Reading
Quantity Parts - Equipment Used
s /c �}
Signature: Date: j - -/1 Time:
P.O. Box 9478 - 816 S. Coppell Rd - Coppell, TX 75019 - Phone (972) 462 -5150 - Fax (972) 462 -5199