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<br />980058 <br /> <br />EJ <br /> <br />~_ __ ~_ ___P~R~_~NCE~U~N_ESS PRODUCT~.IN~~ 8_13-71~O_8 FAX 8~3-:~~7~~~_ <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />r1'-?/SS-, <br /> <br />WATER ACCT. NO. <br /> <br />DATEJJil~ (71 <br /> <br />OWNER/ I J . <br />RENTER V Cc..rl <br /> <br />('OA 5 f- <br /> <br />SR <br />1.w- Z I Ft.. <br />{ <br /> <br />SERVICE ADDRESS , J 4/ <br />Ol.at <br /> <br />21i10 <br /> <br />5<..( 4=f= (Db <br />~ 3 ~'-{? <br />A<.L IJ: (Ie D/' . <br />'b s:;\Je~ ~I~ 'i <br />V : it C\<j~ <br /> <br />lY'WATER <br /> <br />MAIUNG <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE U <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br />~CITY <br /> <br />o OUT CITY <br />~ No. OF UNI1S <br /> <br />_ DEPOSIT AMOUNT <br /> <br />~/Lf tl <br /> <br />_ AMOUNT LAST BILL <br /> <br />~ Jl^.~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Depl to sign yellow form & return to office. <br /> <br /> <br />< <br />