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<br />~ <br /> <br />PERFORMANCE BUSINESS PROOUCTS. INC. 813-719-8008 FAX 813-719.7919 <br /> <br />~, <br /> <br />:i"~ <br />; <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />O/-S~7 <br /> <br />WATER ACCT. NO. <br /> <br />DATE ,S- f? -0 I <br /> <br />OWNER/ ~ ~ /J, t1 1 <br />RENTER 1- i.<f 7t...c ~. J..-.!. e?1.':50) l.Jl.....1w ... <br /> <br />MAIUNG <br /> <br /> <br />~ WATER <br /> <br />o SEWER <br /> <br />SERVICE ADDRESS <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE <<' <br />INSTALl METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o GARBAGE <br /> <br />~ IN crrv <br /> <br />o OUT CITY <br />---.L. No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />,*/1 ~ :;;-~ <br />C -- <br /> <br />_ AMOUNT LAST BILL <br /> <br />~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER lAKEN BY <br /> <br />5- <br /> <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Oept. <br />Water Service Oept. to sign yellow form & return to office. <br /> <br />~ <br />