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<br />~~J;!!t <br /> <br />'E3~ (', <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719.7919 <br /> <br />o 1-32. ~.2. <br /> <br />CITY OFZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCl. NO. <br /> <br />DATE to he, 1(3 f <br /> <br />OWNER/ <br />RENTER <br /> <br />') "'~e S <br /> <br />fV\c. \ ~C)d <br /> <br />MAILING '5 8 ~ ~ ~ c...~ <br />2etky/'~ ~Uf I <br />SERVICE ADDRESS 3 ~ ~ '1 \ <br /> <br />~Q <br />PL. <br />,,~ <br /> <br />3'5{VD <br />/tve. <br /> <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 />~ WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />i] IN CITY <br /> <br />o OUT CITY <br /> <br />, <br />_ No. OF UNIlS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />sly I' Jr":S"'-+~t,;r' <br /> <br />_ AMOUNT LAST BILL <br /> <br />,A1 eJer <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service . <br />Water Service Dept. to sign yellow form & return to office. <br /> <br /> <br />?/ /}?? i t::-~ <br />