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<br />-= <br /> <br />L..J <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-7111-8008 FAX 813-719-71110 <br /> <br />CITY OF ZEPHYRHILLS 0' 0/ - S-{/ ~ r <br />ZEPHYRHILLS, flORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br /><6'-g)-t) D <br />. <br /> <br />~~~Rt L~ (} ~~~ <br />~~ 110 6.~. s1 .:/I /0(;, <br />hf#~-;; ~ ~ <br /> <br />SERVICE ADDRESS' a. -' fA <br />~ <br /> <br />MAIUNG <br /> <br />iJJT /~ <br />. <br /> <br />SHUT OFF SERVICE <br /> <br />o <br />~. <br />~ <br /> <br />o SEWER <br /> <br />TURN ON SERVICE <br /> <br />READ METER <br /> <br />o <br />o <br />o <br /> <br />o GARBAGE <br /> <br />~ <br /> <br />IN~ METER <br /> <br />CHECK METER <br /> <br />o OUT CITY <br />I <br />_ No. OF UNITS <br /> <br />OTHER <br /> <br />_ DEPOSrr AMOUNT <br /> <br />~-II ~ <br />7j./m' <br /> <br />_ AMOUNT LAST BlU. <br /> <br />_ DAlE <br /> <br />_ MISe. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLElED <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 />Water Service Dept. to sign yellow form & return to office. <br /> <br />