2012_1123T H [ • C I T Y • O F
COPPELL
T p
F e e n
WOWA -12- ,"4,
Department of Public Works
Initial Date:
Final Date:
Created By:
Water
Water On or Off
Name (H)
❑ Left Door Knocker
(W)
❑ Spoke to Resident
Address 5- � y��:
❑ Called Resident
Cross Street
Notify Water Billing
Location Meter
Description / r, k >,a -Ct P- 5 4,,e e- � ( C -;� )
Office Comments
Assigned To David Stone
Personnel Assigned Hours
I
Old Meter #
Reading
New Meter #
Reading
�l L 3
Quantity Parts - Equipment Used
Field Comments:
f� ,r
5 � X Lt ✓t 1 v2 l k-CA �L h r,vi e q c- .- i 5 ci E c::- 7t-
Signature: -. Date: !3 Time:
P.O. Box 9478 - 816 S. Coppell Rd - Coppell, TX 75019 - Phone (972) 462 -5150 - Fax (972) 462 -5199