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<br />~ <br /> <br />PERFORMANCE BUSINESS PROOUCTS./NC. 813-71UOOB FAX 813-719-7919 <br /> <br />EJ <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />o/.-3S-f <br /> <br />WATER ACCT. NO. <br /> <br />DATE /-.,d D-D I <br /> <br />:: ~~/~~~~ <br /> <br />Z/~~.@~) n 5'3~-;YD <br /> <br />SERVICEADDRESS '~92J/D Jou-r/i (~~ . <br /> <br />~ WATER <br /> <br />o <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE K <br />INSTAll METER ( <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~ IN CITY <br /> <br />o OUT CITY <br />~ No. OF UNIlS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />-7r' J<)*~ <br /> <br />_ AMOUNT LAST Bill <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />IMJRK 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 <br />Water Service [)ept. to sign yellow for <br /> <br />