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<br />~~;:stMb <br /> <br />.~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-71Q.8008 FAX 813-719-7919 <br /> <br />EJ <br /> <br />WATER ACCT. NO. <br /> <br />Cl2- u7cJ6 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHIUS, FLORIDA <br /> <br />DATE S -,;)0 -0..2 <br /> <br /> <br />OWNER/ <br />RENTER <br /> <br />MAILING <br /> <br />>:~f1$ .FL c!3S7'u <br /> <br />I SERVICE ADDRESS ~7.j-S~ ~~~~~. h?r /0/ <br />o ( WATER <br /> <br />o SEWER <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE <br /> <br />INSTALl. METER <br /> <br />READ METER <br /> <br />CHECK METER <br /> <br />OTHER <br /> <br />"3 <br />--JjIi <br /> <br />'-- <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />G( <br />~ <br /> <br />o GARBAGE <br /> <br />~ <br /> <br />IN CITY <br /> <br />o <br /> <br />o <br /> <br />o OUT CITY <br />-L- No. OF UNITS <br /> <br />o <br /> <br />_ DEPOSrr AMOUNT <br /> <br />_ AMOUNT LAST B1U <br /> <br />~~U'n <br />--............. <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />ORDER TAKEN BY <br /> <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Oept. to sign yellow form & return to office. <br /> <br /> <br />~ <br />I <br />I <br />I, <br />II <br />~ <br />t <br />