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<br />l:IOO/~ <br /> <br />to<'" <br /> <br />",'. <br />, <br /> <br />~, <br /> <br />.f~ <br /> <br />-= <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-791D <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHIUS, FLORIDA <br /> <br />OO~~30? <br /> <br />WATER ACCT. NO. <br /> <br />DATE 11'/00 <br /> <br />OWNERI -, r?' k A <br />RENTER e i1 \.)1'",.'\ 4' 5 .s 0 c . <br />MAIUNG 55) /1 ~<2~er Dr. <br />~kyrL..:lfsl ~( 3:S)~' <br />SERVICE ADDRESS 5'71'1 l'YLl, .Q... <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 />~ WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~ IN CITY <br /> <br />o OUT CITY <br />~ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />~/4 " <br /> <br />- AMOUNT LAST BIll <br /> <br />~er M~er <br /> <br />_ DATE <br /> <br />_ MIse. CHARGE <br /> <br />'h'ORK COMPlETED BY <br />& DATE COMPlETED <br /> <br />ORDER T.4KEN BY <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Oept to sign yellow form & return to office. <br /> <br />