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<br />'~ <br /> <br />EJ <br /> <br />'~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-71l1-8008 FAX 813-719-71119 <br /> <br />ud-Ot 77 <br /> <br />CITY OF ZEPHYRHllLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCl. NO. <br /> <br />DATE ..:2 - #-ot2- <br /> <br />OWNERI <br />RENTER <br /> <br /> <br />; MAILING <br /> <br />~[) <br /> <br />~ <br /> <br />SERVICE ADDRESS 3'7i:,tJF jt1~JflJ)l)LJ ()J4k /JAY LlA.lJ7 ~ <br />o ~. WATER <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE \f4 <br />INSTAlL METER ~. <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~ IN CITY <br /> <br />o OUT CITY <br /> <br />I <br />_ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />$- /1 --??? ~ <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 pI. <br />Water Service Dept. to sign yellow form & return to office. <br /> <br /> <br />~-,y-o~ <br />