2014_0106T H E • C 1 T Y • O F
COPPELL
1 e
9
Department of Public Works
Initial Date: January 06, 2014
Final Date:
FI�r ���►1t���� p��� Created By:
I L.:WOMWA- 14- 00110
Water Replace Meter
Name (H) ❑ Left Door Knocker
(W) ❑ Spoke to Resident
Address 233 Southern Belle Dr j-- C Iled Resident
Location Meter
Cross Street
Notify Water Billing
Description Meter change out
Office Comments
Assigned To
David Stone
Personnel Assigned Hours
Field Comments:
Signature:
Old Meter #
9S 6810 �� z
Reading
27 9V?
New Meter #
S
Reading
-6;2--
Quantity Parts - Equipment Used
Date: / - /, -" V Time:
P.O. Box 9478 - 816 S. Coppell Rd - Coppell, TX 75019 - Phone (972) 462 -5150 - Fax (972) 462 -5199