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<br />.~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, IN!;. 813-719-8008 FAX ln3-Tt9-7919 <br /> <br />~ "J- t{ ~ 5 <br /> <br />CITY OF ZEPHYRHllLS <br />ZEPHVRHILLS., FLORIDA <br /> <br />WATER ACCT. NO, <br /> <br />"~ 17/ ,\.., <br />DATE It} , '# L, <br /> <br />OWNERI G .-r;..t"I d ; \ . <br />RENTER !-!f)/ I Z ~M"\, <br /> "5 7 c:: '..r LC;.n d, S Avf <br />MAIUNG 'J ! '\ <br /> <br />L<f "y ~ \ \ \, n <br />' 1"'\\ . \ ~ <br /> 77/" ' ~ <br />SERVICE ADDRESS ~.~'1 <br />SHUT OFF SERVICE 0 La+- <br />TURN ON SERVICE .j!( <br />INSTALL METER ~. <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />I.....v, a,' s <br />'11 <br /> <br />Ave <br />, '" <br /> <br />yD WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />li!' <br />/ <br /> <br />IN CITY <br /> <br />o OUT CITY <br /> <br />I <br />-----'--- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />7/ .\ <br />....,4 <br />-'I : <br /> <br />~ ;) <br />j... i"/' '-, . ni\e 4<.'" <br /> <br />_ DATE <br /> <br />_ MISe. CHARGE <br /> <br />',-l<<.... <br /> <br />WORK COMPlETED BY <br />& DATE COMPlETED <br /> <br />ORDER 'TAKEN BY <br /> <br />i D /7 / ;]'2 <br /> <br />~-I <br /> <br />o GIVEN BY <br /> <br />Retain white fotm in office at all times. <br />Send pink & yellow forms to Water Sefvice Dept <br />Water Service IJept to sign yelJow form & return to office. <br /> <br />