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<br />~/:JO <br /> <br />~ <br /> <br />r71 <br />c..J <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-718-6008 FAX 813-719-70111 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />ocf-tr?d- <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />/-/12-0/ <br />. <br /> <br />OWNER/ <br />RENTER <br /> <br /> <br />MAIUNG <br /> <br />" <br /> <br />SERVICE ADDRESS <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE t&: <br />INSTAll. METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />W INCITY <br /> <br />o OUT CITY <br />--'-- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />/ - f /1~An~ <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 />Retain while form in office at all times. <br />Send pink & yellow forms to Water Service . <br />~ Service Dept. to sign yellow form & return to office. <br /> <br /> <br />p~~ <br />