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<br />-. '" <br /> <br />r--r-c- r~--~ '0. 0 I' n r-~.- <br /> <br />I -= _...~ ,~,= ~cr~ '" "~"....:~~: (, D '( <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />-"~ <br />, <br /> <br />(i <br /> <br />WATER ACCT. NO, <br /> <br />DATE <br /> <br />OWNER/ <br />RENTER <br /> <br />~L ?QC-\~c... hVli'''LnC'\oQ S'JCs. ~C <br /> <br />MAILING <br /> <br /> SERVICE ADDRESS 5 'ls 1<0 L.\.- \[ u\('~ Ql '\ L..6irS; <br /> 0 ~ WATER <br />0\ SHUT OFF SERVICE <br /> ~ 0 SEWER <br /> TURN ON SERVICE <br /> ~ 0 GARBAGE <br /> INSTALL METER <br /> 0 g/IN CITY <br /> READ METER <br /> 0 0 OUT CITY <br /> CHECK METER <br /> -L No. OF UNITS <br /> OTHER 0 <br /> _ DEPOSIT AMOUNT <br /> <br />~~ - 5'-+4 \ <br /> <br />~4:(I~~ <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 />ORDER GIVEN BY <br /> <br />Retain white form in office at all times, <br />Send pink & yellow forms to Water Service Dept. <br />Wate, Service Dept to sign yellow form & ,eturn to office. <br /> <br /> <br />.J <br />