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<br />1 995532 <br /> <br />~ <br /> <br />D <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8?O8 FAX 813-710.7919 <br /> <br />~.~- i ~~ "'\ <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHlllS, flORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE (,/~~ <br /> <br />OWNER/ <br />RENTER <br /> <br />,p /Y <br />,/lympf/M ( ~d' <br />5.e.L. ~_ <br /> <br />MAILING <br /> <br />,.L-;~ .;2 ,,)..., <br /> <br />SERVICE ADDRESS A~1A./..;? f lIa-mnva e,j:' dr: <br /> <br />~ATER <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE []../' <br />INSTALL METER 0/ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />O--fl\i"CITY <br /> <br />o OUT CITY <br />L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />j~ f' <br />, I' <br /> <br />;'C( <br /> <br />VJ;:;;i2y ~ <br /> <br />_ AMOUNT LAST BIU <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />Aelai h' ,X- " <br />n W Ite form in office at all times <br />Send pmk & yellow forms to Water ~ Dept <br />Water ServICe Oept. to sign yellow form & return'to office, <br /> <br />