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What is your request (Please select one)
  Order Water
Order water at this rate (C.F.S)
  1.50
Order water turn on date
  04/23/2022
Order water turn off date
  04/30/2022
Lateral
  53
Turnout for Laterals starting with 53
  107
Contact information
Name
  test6
Email
  test@gmail.com
Phone #
  (123) 456-7890
Remarks
  test 6