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CITY OF <br />CVERETT WATER DEPT. <br />TURN ON — SHUT OFF ORDER <br />trrc n�r i�ii � <br />tnc �co xo. �u• cusi ci. DB19 � �(J��9� <br />� .o� �� � ��;��,:�-z L <br />�Turn ,❑ OIIt ❑ Olhor APPI. No. ` jS�l � <br />On / / <br />Sorvice Addrosa <br />� C/ L�.- �-(u �l �r- `l!� c�l <br />Bllling Address , �� <br />S. <br />RECORD OF TURN ON / SHUT OFF ' j <br />' Turn On �' �+ 19—L- <br />!nspeclod � Shut Olf Dale <br />� Ramove Meler No.------ Reading -- <br />� Instell Melo� No. <br />�" BY -5'--`----� <br />New servlce �i� ) 4- ! 7 � oft sv_. � <br />Instelled <br />BILLING DEPARTMENT <br />Dato Entorud <br />Ynto� <br />OESCf11PTI0N Sorvlo <br />i ,' <br />Current Chnrge <br />❑ack Chargo <br />� Credit Ad�. �� <br />Olhot <br />ReR.. ks: <br />� _,- I � 3>> <br />19 �� <br />TOTAL <br />jo ' <br />N° 60D9 �/ <br />