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<br />986758 <br /> <br />- <br /> <br />PERFORMANCE BUSINESS PROOUCTS. INC. 813-718-8008 FAX 813-7111-70111 <br /> <br />E3 <br /> <br />CITY OF ZEPHYRHILLS () 0 ., S3 tr 0 <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />/0 ~6 -00 , <br /> <br />=:~ 1 ~~p Y?tad7~~ ~~,Utk <br /> <br />, <br /> <br /> <br />MAIUNG ~9:ao - ~~ ~r. <br />:Z!'J;~Jl'i~ n <br /> <br />SEfMCEAllDRES~ $7/tJ/ l ~L~A," L1Ad..:~ <br />~TER <br />SHUT OFF SERVICE 0 .. <br />o SEWER <br /> <br />)( <br />~ <br /> <br />o GARBAGE <br /> <br />TURN ON SERVICE <br /> <br />INSTAll METER <br /> <br />READ METER <br /> <br />o <br />o <br />o <br /> <br />)a:'" IN CITY <br /> <br />CHECK METER <br /> <br />o OUT CITY <br />-L.. No. OF UNns <br /> <br />OTHER <br /> <br />- DEPOSIT AMOUNT <br /> <br />~ <br />~ <br /> <br />~. <br /> <br />''h?~ - <br /> <br />- AMOUNT lAST BIll <br /> <br />/1 <br /> <br />- DATE <br /> <br />- MISC. CHARGE <br /> <br />- <br /> <br />WORK COMPlETED BY <br />& DATE COMPlETED <br /> <br />- <br /> <br />ORDER TAKEN BY <br /> <br />Retain while form in offICe at all times. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Dept. to sign yellow form & retum to office. <br /> <br /> <br />[) t.,-aa <br />