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<br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br /><O-bbl~ <br /> <br />WATER ACCT. NO. <br /> <br />DATE lolr~/o~ <br /> <br />OWNER/ <br />RENTER <br /> <br />Rl 1 rf"\n.Ki ("I (N"'\~~()y-... <br /> <br />MAILING <br /> <br /> SERVICE ADDRESS 1-\64-5 E'~L? rq ~ch D(" 1-0+ a '5 <br /> 0 ~ WATER <br /> SHUT OFF SERVICE <br /> lid 0 SEWER <br /> TURN ON SERVICE <br /> UY' 0 GARBAGE <br /> INSTALL METER <br /> 0 UI/iN CITY <br /> READ METER <br />"'--- 0 OUT CITY <br /> CHECK METER 0 <br /> -L No. OF UNITS <br /> OTHER 0 <br /> _ DEPOSIT AMOUNT <br /> <br />3{l..\II~~ <br />p~- 5"Co~ <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 Depl. to sign yellow form & return to office. <br /> <br /> <br />ORDER GIVEN BY <br />