2012_1127T X! • C I T Y - O F
COPPELL
r o
R A, A a ' e n
Department of Public Works
Initial Date: November 26, 2012
Final Date:
W K ER Created By:
ik.WOWA -12 -4964
Water Miscellaneous
Name Diana Villalobos (H)
Water Billing (W)
Address 122 Holly St
Cross Street
Location Meter
Description House being demo'd - pull meter # 022998945
Office Comments
Assigned To David Stone
Left Door Knocker
Spoke to Resident
Called Resident
Notify Water Billing
Old Meter # `j It `)
Reading
New Meter #
Reading
Personnel Assigned Hours Quantity Parts - Equipment Used
Field Comments:
Signature: `�,��` Date: // .2 i. Time:
P.O. Box 9478 - 816 S. Coppell Rd - Coppell, TX 75019 - Phone (972) 462 -5150 - Fax (972) 462 -5199