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� � <br /> CITY OF EVERE�'T �'dATER DEPT: ' <br /> , c.,.�c. ru�.�,r'- I <br /> ��_ TURN JN�SHUT OFF ORDER . <br /> ir.c �j <br /> � / � <br /> rtr� �co xa. I su� I cusi a. � �DOIOc-/(/�`� �� 19— <br /> 9� si <br /> I �. iy yi;� ;,i`'� C�.Z. �'i�'' `�� �� ' <br /> IJ On OH� ❑ Olhor APPI. No. /� <br /> �3ervlce Addre�=`�/��� �� <br /> l Q � � G. �,F �tT.c�w�;.�. <br /> ,,r+�� �.w <br /> ' Bllling Addross-p+�%-- / '���,��•,� �,;,� � � <br /> � ��.:�� iL�- � ' . <br /> Consumer � <br /> Owner�1 n - <br /> 1 '� <br /> Slgned X-� � t ' � ��,Pj� <br /> , <br /> -/�'" � ��� <br /> Remnrks: <br /> /J <br /> �� /J�/ BY /�`Yl C1��U�- <br /> � ��_r•� <br /> RECORD OF TURN OY / SFiUT OFF (./ � <br /> � Turn On Date ���� ��� <br /> Inspected � Shut Oft . <br /> Flcading <br /> � Remove Molor No. � <br /> Reading <br /> � Inslell Metor No. <br /> On gy - <br /> ❑ �� �f � ' 1 <br /> New Sorvico !q ��- (�� �Off '=BY1�.��"'�"Q'�c`'�'`"�� <br /> Inslatlod <br /> BILLING DEPARTMENT <br /> //—a � is �� <br /> �-�C Dalo EMered <br /> SOHat - e nlo� TOTAL <br /> b..mt r 5���"� Consimctian "`?h'{ <br /> — GE'CflIPT10`1 I Gc:R a:� Ser.m._ <br /> �� l� 70 <br /> Current Charge f o �- <br /> �H�cK Charr ' � � �35, ��j �, �� <br /> �6�etfit-f{ I. <br /> otner I ' � �p �(Sa Zy �" - <br /> �i�w . <br /> Remarks: . <br /> � � <br /> � ,1' . . N4 7920 <br /> � /'9 <br />