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<br />~'OOf .00 <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-710-8008 FAX 813-719-71119 <br /> <br />EJ <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />O{J~S3~S- <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />10/e:, 100 <br /> <br />OWNER/ "./\ <br />RENTER Ir'4,~:~ <br /> <br />Du ke$ <br />, <br /> <br />MAILING 3" b c..{ c) g <br />ZefLy/ l...:ll ~ ( <br />SERVICE ADDRESS ~~, 00 <br /> <br />EtA'"" ,'(,/( <br />t:( ~~sl..( I <br />VI€.t.J..V R,,, cI R c! <br />I <br /> <br />Dr <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ,r <br />INsmLL METER IS <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br />3/'1 " ~ M~ <br /> <br />~WATER <br /> <br />~WER <br /> <br />o GARBAGE <br /> <br />~IN CITY <br /> <br />o OUT CITY <br />--f-- No. OF UNIlS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />- AMOUNT lAST Bill <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPlETED <br /> <br />ORDER TAKEN BY <br /> <br />IO~ /00 <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 & retum to offICe. <br /> <br />