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<br />.~ <br /> <br />o <br /> <br />;~'-.. <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-7111-8008 ~ 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />/') ~ /) -;'17 <br />,:...--'~ -L../ // <br /> <br />WATER ACCT. NO. <br /> <br />DATE ~ -t::l5--t7:<. <br /> <br />OWNER/ <br />RENTER <br /> <br />/ "1 ' <br /><ccPd/ '-tNcfJt~ <br />S~ C-~' <br /> <br />~i7J1C, <br /> <br />~ <br /> <br />GuJtlcts~:r" ,/ <br /> <br />il'\TER <br /> <br />SERVICE ADDRESS 37:;250 <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTAll. METER rw/ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~ITY <br /> <br />o OUT CITY <br />-L- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />7? <br /> <br />If <br /> <br />'LJ;jj, ~ <br /> <br />_ AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETt:D BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />Retain white form in office at all Ii <br />Send pink & yellow forms to Water Service Dept <br />Water Service Dept to sign yellow form & retun) to <br /> <br /> <br />6--cJSr- ()::2 <br />