Edwards, William T H E� C ! T Y • O F
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City of Coppell Public Works Dept.
816 S. Coppell Road
Coppell, TX 75019
972-462-5150
www.coppelltx.gov
BACKFLOW REGISTRATI�N FORM
Registration is for one year from the date of registration or re-registration.
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City of Coppell, TX
Public Works
255 Parkway Blvd, Coppell, TX 75019
Coppell, TX 75019
972-304-3500
Welcome
001396-0002 Debbie T. 08/22/2018 03: 28PM
ENERGOV INVOICE
Edwards, William (Impact Fire)
2018 Item: INV-00011413
Balance due: 0. 00
Balance unpaid: 0 . 00
Backflow Contractor
Registration 75 . 00
Payment Id: 8169
75.00
Subtotal 75.00
Total 75.00
CHECK 75. 00
Check Number 4986
Change due 0. 00
Paid by: Edwards, William (Impact Fire)
Thank you for your payment
CUSTOMER COPY