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<br />996786 <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC_ 813-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHIliS, FLORIDA <br /> <br />o~ .,,~\O '1 " <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />I:;' - .3 tJ -0.:L <br /> <br />OWNER/ <br />RENTER <br /> <br />s~~ 'V~ <br />5e.e ~~. <br /> <br />MAIUNG <br /> <br />SERVICE ADDRESS TJJ 3 a~/JM 5'r< dr, <br />SHUT OFF SERVICE 0 <br /> <br />D---wATi:R <br /> <br />TURN ON SERVICE <br /> <br />~ <br />~ <br /> <br />o SEWER <br /> <br />INSTALL METER <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br /> <br />~Y <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />-' <br />L No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />34- (, tJ$y ~ <br /> <br />_ AMOUNT LAST BIll. <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />'MJRK COMPlETED BY <br />& DATE COMPlETED <br /> <br />ORDER TAKEN BY <br /> <br />/2-3c.-c~ P <br />ORDER GIVEN BY <br /> <br />~~~ <br /> <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 />