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<br />~~UUoD <br /> <br />__ _ _.~__ _ _ ~R~MA~IC~ BUSI~ESS P~U~~ IN:. ~1~-71~~~ F~ 81~:9~~f~__ <br /> <br />EJ <br /> <br />~.......... <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />CJ t7 -st? <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />3 -d29-oo <br /> <br />OWNER/ <br />RENTER <br /> <br />~D <br />I " ~ <br /> <br />'/2,,-Rp/J1.5 - (?Jh/tt~ <br />. <br /> <br /> <br />MAiLING /~~ 3 C> .$ 7 H ..s '""J- <br /> <br />? EP JY YR-H)J.,~ <br />..f3S:-;40 <br /> <br />SERVICE ADDRESS c37~/~ <br />SHUT OFE.SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />~ ':.Ms) 7JJ.. a .l.CT/5'/1 <br />t! J II 'At.. <::if! ' ~r }S"J <br />~R <br /> <br />o SEWER <br /> <br />o GARBAGE <br />~TY <br /> <br />o OUT CITY <br />~ No. OF UNllS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />f-II -?n~ <br /> <br />_ AMOUNT LAST BIll <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 />