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<br />~ <br />~:.~~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-71119 <br /> <br />EJ <br /> <br />0(-. 33gS <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHIUS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />~~I <br />DATE VC J <br /> <br />OWNER/ <br />RENTER <br /> <br />~S-on <br /> <br />A-'\dr -R~/.1) <br /> <br />'3 i5 ~ z l. N.;)... ,Ii <br />. <br /> <br />. l' I ( <br />~L1tuN" V\ I ) , <br />1=-=' .' <br />SERVICE ADDRESS J"3 L.f l L <br /> <br />~;e, <br />.p( ? ~~V() <br />lVo.~.k. /jYQ., <br /> <br />)51::.. WATER <br /> <br />MAILING <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE }8: <br />INSTALL METER J!f' <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />jaI' IN CITY <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />- DEPOSIT AMOUNT <br /> <br />sit(' T-~.Sc..j'"". A~ <br /> <br />- AMOUNT lAST BILL <br /> <br />_ DATE <br /> <br />- MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br /> <br />ORDER TAKEN BY <br /> <br />ORDER GIVEN BY <br /> <br />-f- <br /> <br /> <br />Retain white form in office at all ti <br />Send pink & yellow forms to Wa ice Dept. <br />Water Service Dept. to sign yellow form & retum to office. <br />