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<br />986758 <br /> <br />-= <br /> <br />PERFORMANCE BUSINESS PRODUCTs. INC. 813-7111-8008 FAX 813-710-71119 <br /> <br />E3 <br /> <br />CITY OF ZEPHYRHllLS <br />ZEPHYRHILlS, FLORIDA <br /> <br />Of),{t?g <br /> <br />WATER ACCl. NO. <br /> <br />DATE '/- dZ:2-o / <br /> <br />=R~ V~4!l~ ~~'. <br /> <br />MAILING S 9:9 0 - c2 21!- ~ r <br />:Z;~~h , ;;::-<-.51 ,jl'o ~ <br />SERVICE ADDRESS ~ 4- rXlfW A.~,~:J O. --<0" '7 ~ <br />(,..,( WATER <br />SHUT OFF SERVICE 0 ~, <br />o SEWER <br /> <br />%2(!,~~ <br /> <br />TURN ON SERVICE <br /> <br />)( <br />~ <br /> <br />o GARBAGE <br /> <br />INSTAlL METER <br /> <br />READ METER <br /> <br />o <br />o <br />o <br /> <br />~ IN CITY <br /> <br />CHECK METER <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />OTHER <br /> <br />- DEPOSIT AMOUNT <br /> <br />/- f!' ~. ./jn~ <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 white form in office at all times. <br />Send pink & yellow forms to Water Service Dept. <br />Water 8ervice Oept. to sign' yellow form & retum to offICe. <br /> <br /> <br />/- ~:Z-DI / <br /> <br />