Laserfiche WebLink
<br />I,rn"! <br /> <br />~~ <br /> <br />,~ERFCRMANCE 8.I.lSINESS ?RODUCTS. ;NG. J13-719..aGll8 C=AX &13--719-7919 <br /> <br />,,- <br /> <br />c;3-C('7cr ? <br />CtTY OF ZEPHYRHIUS <br />ZEPHYRHItLS. FLORIDA <br /> <br />WATER ACCT NO. <br /> <br />/"" A, // <br />..(_ .....-f ,"'" <br />DATE:::;:.;' ~ Vi <br /> <br />SERVICE ADDRESS <br /> <br />Kif' I 5+1 f'lk.-. f..-t c A I v c... ~C <br /> <br />3 S '~7Yo ts+ Ac c <br />Lephyr~f 1/5/ ~L33~.s~ 2- <br /> <br />.:!:> 21, jrVl-<-' <br /> <br />OWNERJ <br />RENTER,./' <br /> <br />MAIUNG ./ <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />)ti' <br /> <br />WATER <br /> <br />INSTALL METER <br /> <br />~ <br />~ <br /> <br />o SEWER <br /> <br />TURN ON SERVICE <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br /> <br />~ IN CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br /> <br />I <br />_ No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />-t:', <br /> <br /> <br />_ AMOUNT LAST BILL <br /> <br />, <br /> <br />i .l---~_.." <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />8. DATE COMPLETED <br /> <br /> <br />Retain while form in office at all times. <br />Send pink 8. ye&:tN forms to Water SllJIvice Dept.. <br />Water Service Dept. to sign yellow form 8. return to offic . <br />