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<br />995532 <br /> <br />.~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919' <br /> <br />c~-.\.~ ~ ~ \ <br />CITY OF ZEPHYRHlllS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />//J - '::( -0.::2- <br />DATE /'(/ ~ <br /> <br />~(~ _.1 <br />~7 .' 5~ $I ~Li <br />?tPh\~/)III~ rz: 1:554'~ .. <br />SERVICE ADDRESS :l :;;-"2 J/ ~::?.LL.l It _ ~ 4/ld0f. <br />/ R'WATER fr If <br /> <br />OWNER/ <br />RENTER <br /> <br />MAILING <br /> <br />SHUT OFF SERI/1CE <br /> <br />o <br /> <br />TURN ON SERVICE ~, <br />iNSTALL METER ~' <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />)<("IN CITY <br />-..., <br /> <br />o OUT CITY <br />--L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />~}I <br />~ . ~lk-. <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />~ <br />~ ,- /'J - iJ :;L' /- .;-('~5 <br />7l,D7:.R., :IVN/.~'~ .__: ---., <br />(.'" 4~ / .:"r;) . ~ <br />,--/11 ..l. \:..(!, ,G" <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 />