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<br />~ <br /> <br />?ERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719.7919 <br /> <br />o3'~ [*?7~ b <br /> <br />CITY OF ZEPHYRHllLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />~/:Z-D5 <br /> <br />I <br /> <br />I <br /> <br />.~ <br /> <br />"-l /) <br />~.::~ ~4{~ c!2J?l2, .. : <br />MAIUNG ./ " 7)J,Jd,] 3. -Z. .5L / [(.-/ v <br /> <br />- <br /> <br />Clph "I ( h ; /10 fL- 3.35Y~ ~ <br />SERVICE ADDRESS .~ ~7 :5-:~D ~Jj.4J2--l~(-:Z/~,-JCv.. <br />./ ) I '-r::Y <br />~, WATER <br /> <br />o <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE R <br />INSTALL METER b(' <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 />o OUT CITY <br /> <br />( <br />_ No. OF UNIlS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />~ ~'~ <br />~.. .' <br />J.! / ...t. i-~L<:)I~ "I y11{" <br />// <br /> <br />/ <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 />l: <br />W <br />~ <br />~ <br />~ <br />0{ <br /> <br />"'"', <br /> <br />Retain white form in office at all times" <br />Send pink & yellow forms to Water Service Dept, <br />Water Service Oepl to sign yellow form & return to office. <br /> <br />