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Account #: Membership: Service Application: Proof of Ownership:5460 LAKEAIRE BLVD. TEMPLE, TEXAS 76502 PHONE (254) 9862457 FAX (254) 9862530 www.moffatwatersupply.com \"This institution is an equal opportunity provider.\"Bell CAD Prop ID: Easement: Meter Serial #:SERVICE APPLICATION AND AGREEMENT DATE ___ APPLICANTS NAME: ___ COAPPLICANTS NAME: ___ CURRENT BILLING ADDRESS: ___FUTURE BILLING ADDRESS (if different): _______________PHONE NUMBER: Home ()Work ()___EMAIL
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