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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 />ZEPHVRHILL5, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />r J~~ ;dJa~aC-tct.-w<?7 <br /> <br />Po 8~x (oOC{ <br />t:~~ IF(~ 33841 <br />SERVICE ADDRESS '3 g- c :s g ~ ~o- .LoT r- 2 <br />~ ~ATER <br /> <br />cui <br />~ <br /> <br />OWNER/ <br />RENTER <br /> <br />MAILING <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE <br /> <br />INSTALL METER <br /> <br />READ METER <br /> <br />CHECK METER <br /> <br />OTHER <br /> <br />314 4 <br /> <br />o <br /> <br />o <br /> <br />o <br /> <br />w;J;y ~ <br /> <br />WORK COMPlETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />I <br />~I', <br />Ii\. <br /> <br /> <br />Retain white form in office at all times. <br />Send pink 8. fellow forms to Water3ervice Dept. <br />WeJ.er Service Depl. to sign ';feilow form & return to office. <br /> <br />~ :J....- \0 ~ S 9' <br />\ <br /> <br />DATE /-/3~ 0.3 <br />! <br /> <br />o SEWER <br /> <br />o GARBAGE <br />! <br /> <br />gl'IN CITY <br /> <br />o OUT CITY <br />----L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />- AMOUNT LAST BIU <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />NBY <br />