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<br />~. <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-7111-8008 FAX 813-7111-79111 <br /> <br />CITY OF ZEPHYRHlllS <br />ZEPHYRHILLS, FLORIDA <br /> <br />/ 7~ t3Y" <br /> <br />WATER ACCT. NO. <br /> <br />OWNER/ n /l C\ <br />RENTER l>-/rtAU~ Ue-nW ' <br /> <br />MAILING ~ 7 :la~ ,:5'1: $1 uJ <br />(j JlUA/ FI- ~.5.511/ <br />SERVICEADDRESS 5902 \..JJNa?~l~ k: ~p <br />. WATER <br />SHUT OFF SERVICE 0 <br /> <br />DATE <br /> <br />/!-q'-Cf9 <br /> <br />. <br /> <br />TURN ON SERVICE 0 <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~Y <br /> <br />o OUT CITY <br />L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />-4- I( dJ .-ffl-duv <br /> <br />_ AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br /> <br />ORDER GIVEN BY <br /> <br />- &->.- 79 <br /> <br /> <br />Retain white form in ollice at all times. <br />Send pink & yellow forms to Water Service [)apt. <br />Water Service [)apt. to sign yellow form & return to ollice. <br />