Laserfiche WebLink
�� ����'t��r� <br /> CITY OF ZEPHYRHILLS <br /> UTILITIES WORK ORDER <br /> WATER ACCOUNT NO.: DATE: 1/23/2012 <br /> OWNER/RENTER/BUSINESS: Florida Medical Clinic CONTACT PERSON: Rene Gosselin <br /> MAILING ADDRESS: 38135 Market Square Drive PHONE NUMBER: 727-647-0804 <br /> Zephyrhills FI. 33542 EMAIL ADDRESS: <br /> SERVICE ADDRESS: 38135 Market Square Dr. <br /> SHUT OFF SERVICE ❑ ❑X WATER <br /> TURN ON SERVICE �x ❑ SEWER <br /> INSTALL MEfER ❑X ❑ GARBAGE <br /> READ MEfER ❑ ❑X IN CITY <br /> CHECK METER ❑ ❑ OUT CITY <br /> OTHER � <br /> DESCRIBE OTHER: 2'irrigation meter <br /> � NUMBER OF UNITS <br /> �'z � 3u�.� � Cec,k.Q 1�2,h.�, <br /> DEPOSIT AMOUNT <br /> i�-�.�,a.� .1�2� ,�.���- `�(o <br /> AMOUNT LAST BILL 5;� � n�� -� ��� <br /> DATE ���' �ek ��dr-�-� <br /> MISC. CHARGE <br /> �� <br /> METER: FULL <br /> IIRRIGATION 2' I <br /> WORK COMPLEfED BY&DATE ORDER TAKEN BY: Jackie Boges <br /> COMPLEfED <br /> ORDER GIVEN BY: <br /> Revised 9/2010 , o �, jn � �(�� '7 1Q, <br /> �Cx Vk._ �� <br />