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<br />989907 <br /> <br />~ <br />~~i9_~ <br /> <br />EJ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813.719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />1.:1-/(7rO/ <br /> <br />OWNER/ <br />RENTER <br /> <br />~1~V\ <br />See <br /> <br />~ <br />~~ <br /> <br />MAILING <br /> <br />37S5o ~d II~ b~'s~ <br /> <br />~ER <br /> <br />o <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE <br /> <br />v <br />~" <br /> <br />o SEWER <br /> <br />READ METER <br /> <br />o <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />INSTAlL METER <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />I <br />_ No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />#"~ <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 />~-ltJ.- 0 / <br />ORDER GIVEN BY' <br /> <br />~(l <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 />