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<br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />b-f)~o1 <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />\ i'3 Jexe. <br /> <br />. <br /> <br />OWNER/ <br />RENTER <br /> <br />MAILING <br /> <br />~n~~ ~Q. <br />(PCb ~. ~~ /.3(\,)cl 5tc. SOO <br />T~ ) K- 33~c~ <br /> <br />SERVICE ADDRESS <br /> <br />W..u.-hf"'t J "" )k'~ ~. <br /> <br />[g'" WATER <br /> <br />SHUT OFF SERVICE <br /> <br />INSTALL METER <br /> <br />g- <br />~ <br /> <br />9.ec~ <br />I._\(? ~ ) <br /> <br />o SEWER <br /> <br />TURN ON SERVICE <br /> <br />o GARBAGE <br /> <br />.~.,..._,,, ~ <br /> <br />READ METER <br /> <br />o <br /> <br />Q/ IN CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />---L.- No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />3 (4. I' <br /> <br />_ AMOUNT LAST BILL <br /> <br />w~~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />-r I, (05 <br /> <br /> <br />\ 3(c<:a <br />ORDER GIVEN BY <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Depl. <br />Water Service Dept. to sign yellow form & return to office. <br /> <br /> <br />l\c--\-<....cc~d> <br />