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<br />.~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719.7919 <br /> <br />,.......""'- <br />'-i \ <br />"'- - <br /> <br />1-/ '" .-. __ <br />I~~ <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHlLLS, FLORIDA <br /> <br />/" <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />c; - ;2f-O~ <br /> <br />/-----------,-,- <br /> <br />. ~WNER/ <br />- I::N I l::R <br /> <br />/-; ~ I <br />~ L-fc,/nu.- C;:Q7)Vz;tz.~Q , <br /> <br />__1~9t l-?~//~~ 9.L~ ' <br />~ tJo / <br />,~ ,--I'J-<;Jps <br /> <br />SERVICE ADDRESS -2 1/ 9 Ie l <br /> <br />MAILING <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTAll METER L(' <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />~e, J~i. <br /> <br />_~9~#', <br /> <br />~ WATER <br /> <br />\[Zf SEWER <br /> <br />o GARBAGE <br /> <br />~ <br /> <br />IN CITY <br /> <br />o OUT CITY <br /> <br />/ <br />--"-- No. OF UNIlS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />- AMOUNT LAST BILL <br /> <br />5. ---Yo -f-- de'.! <br />~ (u fA LOz ...,/J?,7.. f:..-l <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 times. _ <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Dept. to sign yellow form & return to office. <br /> <br />