Laserfiche WebLink
UTILITIES SERVICE/METER CHANGE OPRlER <br />1l'o'1ll la � ...���...,,. ��/ <br />y l��qv-Orl ❑ SHUT-OFF 'JFNEW ACCNT. ❑ U.C. ❑ SWR,CONST. <br />0 <br />/. tOLI[AT10r1 M]CR <br />/ <br />/uv <br />1CCOV VT Lv I <br />41 <br />Anvucpil0•. pnic <br />❑MTR. CHA NDi <br />I <br />2 <br />♦inC <br />[v.cLS. �941 <br />u Vu 1 <br />rl1— <br />! <br />0 <br />0 <br />! <br />aM <br />o <br />r <br />Ipaep l�I vaLT <br />l� <br />3 IJ tS If V <br />IP <br />I9 20 21 22 <br />23 2a 25 2! 2) 2II2 30 31 32 333a 3513! 3: 3b, <br />SERVICE <br />ADDRESS 13 <br />3a• <br />i�(/ <br />OWNER <br />MORTCAG012I <br />Ie _II CM v° IE <br />BILLING <br />NAME O9 <br />C <br />BILLSTREET <br />C <br />1., CIT I,I <br />/�. Ll <br />BILL, CITY <br />E11 <br />STATE. 2„ <br />q <br />plQl� 11111 F <br />"Uwe <br />BUILDER <br />S <br />❑ACCT/ LEAq SIGNE.{/�P - �'�_el <br />R EMp�. /I%1P/TK+'C>• �,I:U/pYY'/� <br />e6 <br />S.O. <br />URU CN/9FF OR METER CNPNGE MCilR C00[ IT OATC <br />IS <br />10191101/1 <br />r `.Q S \•CTCR NVMp[R PREVIOUS NCAOINO <br />19 <br />_ p L n¢iEP sVMeER 1B PRESENT IICA9IN9 <br />20 <br />U <br />ON ❑OFF ❑CHANCE BY:, <br />NEW SERVICE / <br />�ON <br />❑OFF <br />INSTALLED�SLJ /1—BY <br />BILLING OEPAP.TMENT DATE ENTERED <br />19 <br />XA1CR 23 <br />SCwCn 24 <br />SCWCfl 2! <br />TR.N <br />20 <br />TOTAL <br />9CSCNIPTIPM <br />SCRVICL <br />]CRVICC <br />CONST. <br />CIIA PGE <br />""PENT <br />I <br />I <br />I <br />I <br />I <br />C NAII<LS <br />I <br />I <br />I <br />I <br />1 <br />.AC[ CNAROC <br />C1101T, ADJ. <br />REMARKS: <br />�> NO. 7658 <br />FORM R il3-1 13l2t aJ3 <br />