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CITY OF ZEPHYRHILLS <br /> ZEPHYRHILLS, FLORIDA <br /> WATER ACCT. NO. DATE Z- 1 <br /> OWNER/ Le.A, � _ RENTER new e S dpt <br /> / � ll <br /> MAILING 1555 kJ 1C-1 -WaVei hP:41�r * 216 <br /> E'a r (,t. 'cre-f- 'FL 337 60 <br /> SERVICE ADDRESS 37(022- I /T4-1 4 /1 7eot <br /> Fp WATER <br /> SHUT OFF SERVICE ❑ <br /> TURN ON SERVICE ❑ SEWER <br /> INSTALL METER ❑ GARBAGE <br /> In <br /> READ METER ❑ IN CITY <br /> CHECK METER ❑ ❑ OUT CITY <br /> - ( No. OF UNITS <br /> OTHER ❑ <br /> DEPOSIT AMOUNT <br /> 3/14 -' f k AMOUNT LAST BILL <br /> `) y. 1 4- c ' ©o B3 DATE <br /> �"// ' MISC. CHARGE <br /> METER: full <br /> irrigation <br /> WORK COMPLETED BY ORDER TAKEN BY <br /> & DATE COMPLETED <br /> R GIVEN BY <br /> Retain white form in office at all times. <br /> Send pink & yellow forms to Water Service Dept. <br /> Water Service Dept. to sign yellow form & return to office. <br />