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<br />~oo..,e:. <br /> <br />.~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 613-719-a008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FlORIDA <br /> <br />c:J.. - \..{ ~ 3 <br /> <br />WATER AccT. NO. <br /> <br />DATE <br /> <br />9-~-o~ <br /> <br />(lAf7td <br />MAILING ::2~ C? ~K~ (jwk ~f~ <br />P(cv~ c~~ rE.(53S{, 7 <br /> <br />SERVICE ADDRESS ~ f :1 ~ A/f/r:f <br /> <br />OWNER I ~'("'I/\ <br />RENTER V\:- <br /> <br />Slt ''--<- <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE W <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />GJ-WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br /> <br />~CITY <br /> <br />o OUT CITY <br /> <br />i <br />i <br />~ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />--J . <br /> <br />X /1~oylfY5. /'~ <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 />c;- <br /> <br /> <br />Retain white form in office at all times. <br />Send pink & yeflow forms to Water Service Dept. <br />Water Service Dept. to sign yellow form & retum to offICe. <br /> <br /> <br />/ <br />