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<br />l:IIOD/:JO <br /> <br />-= <br /> <br />E3 <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719.71119 <br /> <br />CITY OF ZEPHYRHILLS tJ t! - S-f tf7 <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT, NO. DATE <br /> <br /> <br />OWNERI <br />RENTER <br /> <br />MAIUNG <br /> <br /> <br />TURN ON SERVICE ~' <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~ <br /> <br />o OUT CITY <br />/ <br />_ No, OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />- .3.: /(;;ti -'- <br />/ ~~ ~~ <br /> <br />_ AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ MISe. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPlETED <br /> <br />ORDER TAKEN BY <br /> <br /> <br />S ORDER GIVEN BY <br /> <br />f -' ~'~)' ! ,,\, /,J'.. ,/,1 - -...----' ..,. <br />t:::r' ".. \.;-Yr' , <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 & return to office, <br />