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� , � � � C�,`��\��'��IN -- - <br /> l?��C�'�` � Print Form- <br /> ii� - - - — <br /> CITY OF Z PHYRHILLS <br /> UTILITIES ORK ORDER <br /> WATER ACCOUNT NO.: DATE: Sep 11,2014 <br /> OWNER/RENTER/BUSINESS;Martyn&Marion Vanwart COfVTACT PERSON: <br /> MAILING ADDRESS: 37733 Neukom Ave Lot90 PHONE fVUMBER: <br /> Zephyrhills FL 33542 EMAIL ADDRESS: <br /> SERVICE ADDRESS: 37733 Neukom Ave lot 90 <br /> SHUT OFF SERVICE XD ❑x WATER <br /> TURN ON SERVICE ❑ ❑ SEWER <br /> INSTALL MEfER ❑x ❑ GARBAGE <br /> READ METER ❑ ❑X IfV CITY <br /> CHECK MEfER ❑ ❑ OUT CITY <br /> OTHER ❑ <br /> DESCRIBE OTHER: 3/4 irriga ion meter <br /> NUMBER OF UNITS <br /> DEPOS AMOUNT <br /> AMOUN LAST BILL <br /> � <br /> DATE <br /> MISC. C ARGE <br /> MEfER: FULL <br /> IRRIGATION 3/4 <br /> WORK COMPLE�'ED BY &DATE OR ER TAKEN BY: Jackie Boges <br /> COMPLETED <br /> OR ER GIVEN BY: �� ,.y��,�,� � ��,��,y��� <br /> �� <br /> Revised 9/2010 <br />