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<br />980058 <br /> <br />( c <br />--_8= <br /> <br />( <br /> <br />c <br /> <br />c <br /> <br />( <br /> <br />( <br /> <br />c <br /> <br />( <br /> <br />EJ <br /> <br />( <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-71t-8008 FAX 813-710-7010 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHIU5, flORIDA <br /> <br />o 0 - S-~ ~ <br /> <br />SHUT OFF SERVICE <br /> <br />WATER AGGl. NO. DATE .Y - / 1- D iJ <br /><2b7J-/;;-: /YJtPl~ '7J1f1c1.A,~ <br />OWNER/ / ~. ,~-+fJ..../ ~ <br />RENTER .f:::T ./ "I1/ '~ ~ /J/)I' ~.I'7" I~ <br />./ .' ,l/1)~5'/1'/tYVu~ <br />MAIUNG -37t,/-/9 ~J1~ ~ ' ~/!JJ: <br />~Z'1!!j-1./l.lP.. I F L, -3 3 ~.(/ .::!~s+'~ <br /> <br />SERVIGEADDRESS-~4~1 11,6 ~_ Anl/bs-' <br />.~ <br /> <br />o SEWER <br /> <br />o <br /> <br />TURN ON SERVICE <br /> <br />~. <br />~ <br /> <br />READ METER <br /> <br />o <br />o <br />o <br /> <br />o GARBAGE <br /> <br />~" <br /> <br />INSTAll. METER <br /> <br />CHECK METER <br /> <br />o OUT CITY <br />~ No. OF UNIlS <br /> <br />OTHER <br /> <br />_ DEPOSIT AMOUNT <br /> <br />/ - ~ II W'v?1?~ <br /> <br />_ AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPlETED BY <br />& DATE COMPlETED <br /> <br />ORDER 'DU<EN BY <br /> <br />Re1ain white form in office at all timea. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Dept. to sign yellow form & return to office. <br /> <br /> <br /><. <br /> <br />(LrlJ <br /> <br />-~.__.__._---_._------~..,-~._-_.----.. ~-~- -~---- ~-- <br />