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<br />'::fl:Jbt)~ <br /> <br />.~ <br /> <br />~ <br />, J. <br />). , <br />:...........: <br /> <br />;''''\ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />G~ 4Lf to <br />, , <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHIlLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />c2 -2 t.(-- tJ 3 <br /> <br />OWNER/ 5 Q . A <br />RENTER ~\V....~ <br /> <br />r A s scc-. '"l-iA.<-. <br /> <br />MAIUNG <br /> <br />Se.z. <br /> <br />G-~. <br /> <br />SERVICE ADDRESS <br /> <br />ty9S ( <br /> <br />~~'ofWLJ~1 <br /> <br />~1- 3 Y- <br /> <br />SHUT OFF SERVICE <br /> <br />o <br />~ <br />~ <br /> <br />~ATER <br /> <br />o SEWER <br /> <br />TURN ON SERVICE <br /> <br />o GARBAGE <br /> <br />INSlJlli.. METER <br /> <br />READ METER <br /> <br />o <br /> <br />~~ CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />J <br />~ No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />% " 4-air ~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />'MJRK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />J~a - o3tC/- <br /> <br />, ORDER GIVEN BY .>"-\ <br /> <br />I) A D- <br />~~ w- d--/~ <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 /> <br />1%1 $ <br /> <br />14.80 1 <br /> <br />TOTAL: $ 6,066.63 ~ <br />