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� <br /> . ' . - �_.�.-- .�..--__-----:� <br /> , E. Pcint Form. _ <br />' CITY OF ZEPHYRHILLS <br /> UTILITIES WORK ORDER <br /> WATER ACCOUNT NO.: DATE: Jun 8,2016 <br /> OWNER/RENTER/BUSINESS: Butterfield Mobile Home SVC Inc COMTACT PERSON: WAYNE BUTfERFIELD <br /> MAILING ADDRESS: 37744 Prairie Rose Lp It 11 pHONE NUMBER: 813-973-5250 <br /> Zephyrhill�s, FL 33542 EMAIL ADDRESS: <br /> SERVICE DDRESS: 37744 Prairie Rose Lp <br /> SHUT OFF SERVICE ❑X ❑X WATER <br /> lURN ON SERVICE ❑ � SEWER <br /> INSTALL MEfER x� ❑ GARBAGE I <br />' READ MEfER ❑ ❑X IN CIIY <br /> CHECK MEfER ❑ ❑ OUT CITY <br /> OTHER , <br /> ❑ <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 COMPLEI"ED BY&DATE ORDER TAKEN BY: Jackie Boges � <br /> � COMPLETED <br /> ORDER GIVEN BY: � � <br /> I Revised 9/2010 <br /> L <br />