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<br />993835 <br /> <br />'~ <br /> <br />EJ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-M08 FAX 813-719-71119 <br /> <br />/);)-0&; 7~' <br />-- vI -.-/ <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />~-7'-~_ <br /> <br />, SHUT OFF SERVICE <br /> <br />y-~C!J.(4, <br />MNUNG o~~ J:? -;~$3~ <br /> <br />SERVICE ADDRESS ,77(.1)/ I!J,E"' /? j)l)tJ ~ L,)tlV .0J1Jj f <br />o 'f!' WATER <br />o SEWER <br /> <br />OWNER/ <br />RENTER <br /> <br />TURN ON SERVICE <br /> <br />)( <br />~ <br /> <br />READ METER <br /> <br />o <br /> <br />o GARBAGE <br /> <br />~ IN CITY <br /> <br />o OUT CITY <br />.i No. OF UNITS <br /> <br />INSTALL METER <br /> <br />CHECK METER <br /> <br />o <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />~-I/ /1?1~ <br /> <br />_ AMOUNT LAST Bill <br /> <br />- <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 />I Send pink & yellow forms to Water Service , <br />Water Service Dept. to sign yellow form & retum to office. <br /> <br />