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<br />T <br /> <br />995532 <br /> <br />- ~;;-~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC_ 813-719'8008 FAX 813-719-7919 <br /> <br />o <br /> <br />c'3~l~ ~ ~ <br /> <br />CITY OF ZEPHYRI'fILLS <br />ZEPHYRHllLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />L/ h;h , <br />I , <br /> <br />OWNER/ <br />RENTER <br /> <br />Y1W len ffi:V1n <br /> <br />Q \() len&-;n \(, ~ ~Cc..:Ii'K_-. <br />3ST+d-Y 0.. <.s. ~ i)r <br />ZepY~r(nll\s, Fe 33~1 <br />Lf73 79fvY\). sT. <br /> <br />Lo 1- 7 <br /> <br />MAIUNG <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE a/ <br />INSTAll METER ~' <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />~ATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />o...-{N CITY <br /> <br />o OUT CITY <br /> <br />, <br />I <br />--'-- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />/ <br /> <br /> <br />.~ i iJ$v~ <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 />i ' <br />"Y- 7- c - <br /> <br />ORDER GIVEN BY <br /> <br /> <br />Retain white form in office at aU times. <br />Send pink & yellow fonns to Water Service Dept. <br />Water Service Depl. to sign yellow form & return to office. <br /> <br />