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<br />r <br />I <br /> <br />980058 <br /> <br />- n~___.~E~~RMAN_CE_B~SlNE~:R~DUCTS. INC. 813-719-8008 FAX 813.719-791~ <br /> <br />-- '- --, ~ -.,..,-- ---- ---- --. --,,-- --'- <br /> <br />o <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />fr-4/3? <br /> <br />WATER ACCT. NO. <br /> <br />DATE -1l1).~ I C;~ <br /> <br />OWNER/ <br />RENTER <br /> <br />Ua.r: <br /> <br />(""Ast <br />S R ~'I :IF loro <br /> <br />..... <br /> <br />{:( S J t;j '-( ~ <br />b ~ t.f I A-s~ Us~ Ue f)" , <br />o Lo.J. If. 5: / IIfV 4:.~S" ~ATER <br />LJ;(fq~~ <br /> <br />MAILING <br /> <br />;)31/0 <br />~+z (' <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE <br /> <br />~ <br />~ <br /> <br />o SEWER <br /> <br />INSTALL METER <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br />o <br />o <br /> <br />~CITY <br /> <br />CHECK METER <br /> <br />o OUT CITY <br />--'-- No. OF UNITS <br /> <br />OTHER <br /> <br />- DEPOSIT AMOUNT <br /> <br />3/4 " :Lr/"'9G.+.~CM <br /> <br />,MeJer- <br /> <br />- AMOUNT LAST BIU <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 Dept. to sign yellow form & return to office. <br /> <br /> <br />~ <br /> <br />- '-'--- '~-'--~,,-, -"-"-,- --'-------" - '-'-'-,--,.- <br />