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<br />~w~~ <br />1i/I~ ~ Uk ~ <br />A/J'-L /;t-~ ~ ~~ ~ <br />~~/ ~ddJ <br />~ wed-. ~ <br /> <br />996786 <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-71!l-8008 FAX 813-719-7919 <br /> <br />7{(t'-~ <br />'i '11; <br /> <br />CITY OF ZEPHYR HILLS <br />ZEPHYRHILLS, FlORIDA <br /> <br />WATER ACCT. NO. <br /> <br />OVVNER/ . J 1/ <br />RENTER j\J e u K-~ <br /> <br />1?~~A;t~;:J <br />~~. <br />/ <br /> <br />MAIUNG <br />~ <br />SERVICE ADDRESS .5 .1(CJC( ~~ h / vcf. <br /> <br />~~~"-, Co\o~ ~ <br /> <br />DATE / p - 2,j',~ :z <br />~ <br /> <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 />) f 'I ,~r',IS~~ /,/Ll,!iy <br />f 1 v <br /> <br />V\IORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />'" :~.-. <br /> <br /> <br />X' <br /> <br />~etam white iorm in office at all times . <br />~~p!.nk & yellow forms to Water service Dept <br />;::service Dept. to sign yellow form & return' to office. <br /> <br />~TER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~N CITY <br /> <br />o OUT CITY <br />/ <br />_ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br />