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Leak Repair Affidavit
Utility Business Office
401 N 3rd St, Temple, TX 76501
ph: 254-298-5616 email: utilities@templetx.gov
Utility Account #
Today's Date
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Name on the Account
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Service Address
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Phone Number
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Email Address
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Describe the nature of the problem, including location of the leak
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Approximate Date the Leak Occurred
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Date of Repair
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Please upload copies of paid receipts for services and/or supplies used to repair the leak.