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<br />,. <br /> <br />l:fOO/OO <br /> <br />-= <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7Q.111 <br /> <br />E3 <br /> <br />,~, <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHIlLS, FlORIDA <br /> <br />O(} ~&/13 <br /> <br />WATER ACCT. NO. <br /> <br />DATE 1115<>1 ()t) <br /> <br />OWNERI 0 <br />RENTER f-..y~", <br /> <br />G...s+. <br /> <br />MAIUNG J7 3z~ S'f <br />~t..y, ~~ If" <br />SERVICE ADDRESS '( 3 1 ~ <br /> <br />Wt25"f <br />F( )]5'-1' <br /> <br />J.t ~,'... Ja"d ~ <br />Lolr "'32 <br /> <br />~ WATER <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTALL METER J( <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />P IN CITY <br /> <br />o OUT CITY <br />I <br />_ No. OF UNITS <br /> <br />- DEPOSIT AMOUNT <br /> <br />)/'1" ~ ",,~-I-e.r- <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 />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service bept. <br />Water Service Dept. to sign yellow form & return to office. <br /> <br />