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` � Prmt Form � <br /> �,_...._. : <br /> CITY OF ZEPHYRHILLS <br /> UTILITIES WORK ORDER <br /> WATER ACCOUNT NO.: DATE: June 17,2015 <br /> OWNER/RENTER/BUSINESS:Butterfield MHS Inc CONTACT PERSON: Wayne <br /> MAILING ADDRESS: 4034 Gall Blvd PHONE NUMBER: 813-973-5250 <br /> Zephyrhills,FL 33542 EMAIL ADDRESS: <br /> SERVICE ADDRESS: 37806 Prairie Rose Lp <br /> SHUT OFF SERVICE OX ❑X WATER <br /> TURN ON SERVICE ❑ ❑ SEWER <br /> INSTALL METER ❑X ❑ GARBAGE <br /> READ MEfER ❑ ❑X IN CITY <br /> CHECK MEfER ❑ ❑ OUT CITY <br /> OTHER ❑ <br /> DESCRIBE OTHER: 3/4 water ! <br /> NUMBER OF UNITS <br /> DEPOSIT AMOUNT <br /> AMOUNT LAST BILL <br /> DATE <br /> MISC. CHARGE � <br /> METER: FULL 3/4 <br /> IIRRIGATION I <br /> WORK COMPLETED BY&DATE ORDER TAKEN BY: Jackie Boges <br /> COMPLEfED <br /> ORDER GIVEN BY: ---�- <br /> Revised 9/2010 <br />