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r <br /> CITY OF E � � <br /> VERETT WATER DEPT. <br /> __ ___ TURN ON — SHUT OFF ORDER <br /> lp[ �fD <br /> I__ � M0. tY� CYt _I [L III� ��.�_a <br /> �o oi7 � .aii -30'✓ ,� � naio ,�� �s� <br /> um Shut <br /> On ❑ Olf L Olhor ��APPI. No.°i?D/�� <br /> Sorvice qddroea ��� <br /> Bllllnp qddress-_ �_��i_ /. Rn/_�L�_--u��_ "c.e�-c_+" <br /> '_�=•'�6� <br /> Consumer <br /> ---_____.___ <br /> Owner � <br /> �,.�..4c�,., C�—,z,2�_�,�—_—;--,� <br /> si0oaa x <br /> Romarke:__ �"C�L�__-- eo' _.`.��� '� ��,� � <br /> — -ce/ <br /> .�'L.��.2_%__-- <br /> --� e � <br /> RECORD OF TURI� ON/SHUT OFF <br /> Ins ecled ❑ Tum On _—.- <br /> [] Shut OII Dele__---- <br /> i emovo Metor No..- e,o ��-- <br /> 4�;�1-Y ��'Lts-.7�--Z.._--Refldln0___�_-. <br /> v� Instell Metur No._ �� <br /> ' � -� —Roadlnp�O�'] <br /> � New Servlce � ' C f ❑ �^ Oy <br /> Inslollod r__�_�j( OY��,..�_---- <br /> �___ <br /> � 81LLING DEPARTMENT � <br /> Dalo Enterod J' �- ��-,. � <br /> ,j OESCRIPTION e�°� owor 18--� <br /> � Scrrlce $e�_ �wer <br /> � Con¢�� 6nnll�tlon TOTA� <br /> # Currcnl Chnrge I �� <br /> � Back Chargo <br /> Credit�C�._ --_ <br /> Olhar —--- <br /> Remarks: <br /> _ _— ---.--_ <br /> �_- <br /> ---� <br /> M L N? 8526 <br />