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<br />.~ <br /> <br />o <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 1113-719-8008 FAX, 513-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />Cd -c,:' 7/0 <br /> <br />WATER ACCT. NO. <br /> <br />DATE ~ ~ ~ S -f.: ;;Z <br /> <br />OWNER/ <br />RENTER <br /> <br />C:1~cfJ ~~~ ~, <br />S.ee ~, <br /> <br />~~C. <br /> <br />~. <br /> <br />'PJ/lCL5 ~~ Ii,<;/ <br /> <br />\l\TER <br /> <br />SERVICE ADDRESS 73 7 d-.. <)[) <br />SHUT OFF SERVICE D <br />TURN ON SERVICE ~ <br />INSTALL METER ~ <br />READ METER D <br />CHECK METER D <br />OTHER D <br /> <br />D SEWER <br /> <br />o GARBAGE <br /> <br />~N CITY <br /> <br />D OUT CITY <br />.1 No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />3/!1 '1 /1/l~_ <br />>Y' ~ "5 · r'lIV'-q' <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 time . <br />Send pink & yellow forms to Water Service Dept <br />Water Service Dept. to sign yellow form & return to 0 <br /> <br />