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� ' i � <br /> , Print Form <br /> CITY OF ZE HYRHILLS <br /> UTILITIES W RK ORDER <br /> WATER ACCOUNT NO.: - DATE: Sep 16,2014 <br /> OWNER/RENTER/BUSINESS:Butterfield mobile home Ilc CONTACT'PERSON: Wayne Butterfield <br /> MAILING ADDRESS: 4034 Gall Blvd PHONE NUMBER: 813-937-5250 <br /> EMAIL ADDRESS: <br /> SERVICE ADDRESS: 37755 Prairie Rose Lp Lot40 <br />� <br /> X WATER <br /> SHUT OFF SERVICE X� ❑ <br /> � TURN ON SERVICE ❑ ❑ SEWER <br /> INSTALL MEfER XD ❑ GARBAGE <br /> READ MEfER ❑ ❑X IN CITY <br /> CHECK MEfER ❑ ❑ OUT CITY <br /> OTHER ❑ <br /> - DESCRIBE OTHER: 3/4 water <br /> NUMBER F UNITS <br /> DEPOSIT MOUNT <br /> AMOUNT ST BILL <br /> DATE <br /> MISC. CH RGE <br /> METER: FULL 3/4 <br /> IRRIGATiON <br />' WORK COMPLETED BY&DATE ORD R TAKEN BY: jackie boges <br /> COMPLEfED <br /> OR ER GIVEN BY: ��), <br /> Revised 9/2010 <br />