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<br />~ <br /> <br />,,.., <br /> <br />.~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHlllS <br />ZEPHYR~ FLORIDA <br /> <br />,..., <br />a :;)-'7/ :J Q~ <br /> <br />WATER ACCl. NO. <br /> <br />DArE Cf 11ft / CJ 3 <br /> <br />OWNER/ \) <br />RENTER "1' '-1, V'^~V\ <br /> <br />~~T: T-v1.C <br />/ <br /> <br />MAILING <br /> <br />~~..:' <br /> <br />(J~p' <br />72- 4 ~ /I /~?t~2 J-r. <br /> <br />v [a.....-WATER <br /> <br />SERVICE ADDRESS <br /> <br />~--r 7 <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE <br /> <br />~ <br />~ <br /> <br />o SEWER <br /> <br />READ METER <br /> <br />o <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />INSTALL METER <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />% <br /> <br />_ AMOUNT LAST BIU <br /> <br />J/ <br /> <br />i.)?~--t:r ~1;;r <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />!(~/&- ~ 3 q <br /> <br />ORDER GIVEN BY <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Oept to sign yellow form & return to office. <br />