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<br />"""""" <br /> <br />.~ <br /> <br />'0 <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC- 613.719-8008 FAX 813.7190-7'919- <br /> <br />c~ <1 ~S~ <br />CITY OF ZEPHYRHllLS <br />ZEPHVRHIUSI~Ft.ORIDAi <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />I..., 17/~) <br />vI I ~_ <br /> <br />OWNER/ <br />RENTER <br /> <br />e,,- ~f' ::.1 <br /> <br />j.\Qf, "2 et'i <br /> <br />MAIUNG <br /> <br />)' 75'1 ~ <br /> <br />L...",J: ) <br /> <br />Av.<? <br />3 35 'i <br /> <br />2~ h.y ~ ).-'-\ \\ 5 <br /> <br />SERVICE ADDRESS "]7 ~ 41 <br />Lc~ <br /> <br />{:'L <br />r <br /> <br />SHUT OFF SERVICE <br /> <br />[] <br /> <br />L.;\,-, e.L 5 <br />Cf9 <br /> <br />nJRN ON SERVICE ~ <br /> <br />INSTALL METER rsl <br />/ <br /> <br />READ METER [] <br /> <br />CHECK METER [] <br /> <br />OTHER [] <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT lAST BILL <br /> <br />3/ '1 Ii I",-~~'" /vl-ck.- <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />'~~' <br /> <br />VYORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />/, /..., <br />! v I <br /> <br />,./ <br /> <br />(J <br /> <br /> <br />v <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Dept. <br />'MIler Servic& Dept to sign yellow form & return to' office, <br />