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<br />l <br /> <br />995532 <br /> <br />.~ <br /> <br />D <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-7919 <br /> <br />o~_ Y~l{ g <br />CITY OF ZEPHYRHllLS <br />ZEPHYRHlllS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE / IJ -- --3 - O~ <br /> <br />OWNER/ <br />RENTER <br /> <br /> <br />MAILING <br /> <br />fA.) <br /> <br />SERVICE ADDRESS <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE b( <br />INSTALL METER '14' <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />n IN CITY <br />? <br /> <br />o OUT CITY <br />---'- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />'2--.1 <br />---1 (. ~:ek <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 />/0- <br /> <br /> <br />, <br /> <br />~ ~r'"K~)Cl <br /> <br />ii-v <br /> <br />Retain white form in office at all limes. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Dept. to sign yellow form & return to office. <br />