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<br />980058 <br /> <br />-~ <br /> <br />EJ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813.719-8008 FAX 813-719-7919 <br /> <br />------- .- -- -._-~ -~-_.- --- ----. -- ---- - .-.- ----- ---'- <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />00 _~-L/I <br /> <br />WATER ACCT. NO, <br /> <br />~-/I~D D <br />. <br /> <br />DATE <br /> <br />77(~~)) ~IP'V~ <br />;3 7t5".t 02<,) WM~~ ~~ <br />>:rl~ ..#.#~ I n. ~.05 S-~ I <br />SERVICE ADDRESS ""or ~7' <br />~ <br /> <br />o SEWER <br /> <br />OWNERI <br />RENTER <br /> <br />MAILING <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o GARBAGE <br /> <br />~. <br /> <br />o OUT CITY <br /> <br />_ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />? <br /> <br />_ AMOUNT LAST Bill <br /> <br />.~~ <br /> <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER T.4KEN BY <br /> <br /> <br />;/.- <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Capt. to sign yellow form & retum to <br /> <br />1 <br />