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<br />995532 <br /> <br />.~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />.-. <br />-- <br /> <br />~ - i..1 ~O <br /> <br />CITY OF ZEPHYRHllLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />...... ,- ',..,......., <br />;X - -1- - ~.' ...< <br />:---' - <br /> <br />OWNER/ <br />RENTER <br /> <br />" <br /> <br />, f <br />l ;' <br /> <br />__~vt.~ .. <br /> <br />.....- ':'1 ./:" .,VY' <br /> <br />MAIUNG <br /> <br />.::::. '~--1 <br /> <br />~ <br />- /~'7-~r" .,,-'", <br /> <br />/ <br /> <br /> ---: ...-, .:; .2., <br />SERVICE ADDRESS ,F ___ .-r-' --' <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE [}-/ <br />INSTALL METER GV <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />.): ~.0. <br /> <br />;'?~- <br /> <br />, - <br />~b'. <br />.......3-- <br />IU"'" WATER <br /> <br />,- :2' ~,' <br />~.-. -,.)'~ <br /> <br />...... <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />Q../IN CITY <br /> <br />o OUT CITY <br /> <br />~ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />..-; <br /> <br />-4-- -+- <br />^'~/ /:^~- <br /> <br />_ AMOUNT LAST BIU <br /> <br />_ DATE <br /> <br />_ MISe. CHARGE <br /> <br />WORK COMPlETED BY <br />& DATE COMPlETED <br /> <br />ORDER lAKEN BY <br /> <br />~ - ~.,-- <br /> <br />. ;I <br />Cr--- <br /> <br />ORDER GIVEN BY <br /> <br />~~. <br /> <br />I. <br /> <br />,- <br /> <br />'- <br /> <br />Retain white form in office at aU times. <br />Send pink & yellow forms to. Water Service Dept. <br />Water Service Dept. to sign yellow fann & returir to office. <br /> <br />-.' <br /> <br />-...-. <br />