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<br />~ <br /> <br />EJ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC, 813-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />01_3' 'is- <br /> <br />WATER ACCT. NO, <br /> <br />DATE S- J'2~ /01 <br /> <br />OWNER/ <br />RENTER <br /> <br />l iZ..W" S <br /> <br />8, <br /> <br />MAILING }~ )O~ "~~ <br />~kyr" k.: \~5 <br /> <br />SERVICE ADDRESS S 7 3\ <br /> <br />1='- <br />ff~ <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ,K[ <br />INSTAll METER p;g: <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />r5 WATER <br />0 SEWER <br />0 GARBAGE <br />;;a- IN CITY <br />0 OUT CITY <br />_ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />"3/'"1 " l.u,,-~ fV\e.kr <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 />~ /2~ /D ( <br /> <br /> <br />Retain white form in office at all times, <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Oept. to sign yellow form & return to office, <br /> <br /> <br />(I <br /> <br />/1. /Yl <br />