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<br />395"~" <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />~ ",~ -- I 'J.. <i <br /> <br />CITY OF ZEPHYRHllLS <br />ZEPHYRHIliS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATEj -2 "--0 ~ <br /> <br />OWNER/ <br />RENTER <br /> <br />F( &WL <br /> <br />J11\lL~~~ :t\a;vvr* <br /> <br />MAILING 7 c:. 13f) k ?1 0 q <br />KA+4farL ft. 3384q <br />, I <br /> <br />SERVICE ADDRESS -=? ~ c 31 Je .m-IL'1 /v- <br /> <br />/.-01- ~- 5" <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />[J/'WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />GJ/ IN CITY <br /> <br />o OUT CITY <br />I <br />_ No. OF UNITS <br /> <br />- DEPOSIT AMOUNT <br /> <br />3 /l, -II- -ff:- <br />It.( LJ~r ~r <br /> <br />_ AMOUNT LAST Bill <br /> <br />_ DAlE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER lAKEN BY <br /> <br />\ <br /> <br />\. <br />\ <br />! <br /> <br /> <br />-;2~t!J3 <br /> <br />/ <br /> <br />Retam white form in office at aU times. ~ <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Dept. to sign yellow form & return to office. <br />