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� �- � l� <br /> ;�� ��� <br /> �, <br /> , <br /> � Print Form � <br /> S 1 <br /> CITY OF ZE HYRHILLS <br /> UTII�[TIES ORK ORDER <br /> WATER ACCOUNT NO.: DATE: Aug 15,2014 <br />, OWNER/RENTER/BUSIfVESS:Martyn&Marion Vanwart �p�1TACT PERSON: <br /> MAILIRlG ADDRESS: 37T33 Neukam Ave�at 90 pHQNE hlUMBER: <br /> Zephyrhills FL 33542 EMAIL ADDRESS: <br /> SERVICE ADDRESS: 37733 Neukom Ave lot 90 <br /> SHUT OFF SERVICE �X 0 WATER <br /> TURN ON SERVICE ❑ ❑ SEWER <br /> INSTA��METER 0 ❑ GARBAGE <br /> READ METER ❑ ❑X IN CITY <br /> CHECK METER ❑ ❑ CYUT CITY <br /> QTHER ❑ <br /> DESCRIBE OTHER: 3/4 water <br /> NUMBER OF UNITS <br /> DEPOSIT AMOUNT <br /> AMOUNT lAST BILL <br /> DATE <br /> MISC. C ARGE <br /> METER: FULL 3/4 <br /> IRRIGATIQN <br /> WORK COMPLEI'ED BY&DATE OR ER TAKEN BY: 3ackie <br /> COMPLEfED <br /> QR ER GNEN BY: _� <br /> Revised 9/2010 <br /> I I <br />