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<br />WATER ACCT. NO. <br /> <br />OWNER/ <br />RENTER <br /> <br />MAILING <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />1?;' ~1 <br />S~ <br /> <br />7' -/- <br />(~t. <br />~~' <br /> <br />.~.... .-", , <br /> <br />'-' ~~--,:O oj; ~ <br /> <br />DATE it'": -5 C:' - rt7 ~ <br /> <br />,)iO~ C:./v.-bY1jp}~ <br />o <br />rn/ <br />~ <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE <br /> <br />INSTALL METER <br /> <br />READ METER <br /> <br />CHECK METER <br /> <br />OTHER <br /> <br />~14 <br /> <br />o <br /> <br />o <br /> <br />o <br /> <br />;< <br /> <br />-4-- <br /> <br />I , ) ,-"'-..JL ../ V'~ <br />G\.... ~ v-r <br /> <br />WORK COMPLETED BY <br />& OATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />I~ S-'7 <br /> <br />~TER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />Q/(N CITY <br /> <br />o OUT CITY <br />--L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ Mise, CHARGE <br /> <br />! " /'~.' <br />D-3'''-;-C~~ -- <br />ORDER GIVEN BY <br /> <br /> <br />Retain white form In office at all times <br />~ pink & yellow forms to Water ~ice Dept <br />Nater ServICe Oepl. to sign yellow form & return'to office. <br /> <br />" <br /> <br />LL <br />