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<br />~ <br />~~~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-71908008 FAX 813-719-7919 <br /> <br />EJ <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE 3 l?" 0 f <br /> <br />(o~~ S k <br />MAILING ~~L?;;r5 -5. ~ ,5tj u.J. <br />4(Jh~yh.1il (Si -h: 32t5CI1 <br />SERVICE ADDRESS or '7 .~ '-i ~ L., , .A ,r ~ I <br /> <br />OWNER/ 0 <br />RENTER t:.. Y 0>?1 4/1 <br /> <br />'~ \ <br />J'~"'tM'~C;L':'" <br /> <br />i' ~ <br />~,J!, , <br /> <br />SHUT OFF SERVICE 0 LC'>~ '" 1"' <br />.,L,v <br />TURN ON SERVICE ';81' <br />INSTALL METER % <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />)Q: WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />,.a IN CITY <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />7,/LII <br />.;1 i-AJ ,~+€./ j1/l e..J-I2.,r <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 />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Dept. to sign yellow form & return to office. <br /> <br /> <br />o <br /> <br />OR ERGWE1~ p;~ <br />