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<br />i86758 <br /> <br />-= <br /> <br />o <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7010 <br /> <br />WATER ACCT. NO. <br /> <br />CITY OF ZEPHYRHILLS otJ -3 r;? ~ <br />ZEPHYRHILLS, FlORIDA <br />7"'3 <br />DATE~/OO <br /> <br />~~~~R~ 'I. c t l'A.y 4-0.'\ Je~ k; .~ s <br />MAJUNG ~00'j 1k,;J<..Jj; R...J &s + <br />~+ L.I~ ~ _t.. 3') ~ 105' <br />I . <br />SERVICE ADDRESS:37Lf'SJ Lo/Jfl fa.", " D.,. <br />. <br /> <br />L." 5f" u c.f: 0.., <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 />~TER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~ITY <br /> <br />o OUT CITY <br />----L- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />- AMOUNT LAST BIll <br /> <br />J /..., If WQ. t-EY' j'v\rI-.f-.er <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPlETED <br /> <br />ORDER TAKEN BY <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service DePt. <br />IJI.o8ter Service Oept to sign yellow form & return to offICe. <br /> <br /> <br />J.~-:u~ <br /> <br />r. <br />