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<br />--. <br />,.".--' <br /> <br /> <br />tU~ ~e /()It~ <br />~ t.1fm/)0~ i01- <br />-Jru.;. .#l;1- -- 1<10 - <br />77k -- ~1.D- <br /> <br />(l~~ <br />$ .., J '1" <br />)/~ <br /> <br /> <br />! <br />! <br />/ <br /> <br />395532 <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC_ 813-719-8008 FAX 813-719-7919 <br /> <br />C3-o7~~ <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE 3 - / '5 - " 3 <br /> <br />~~~R~ ---t~~ O~~ <br /> <br />3 'f.5 ( jAA..~y- -<-p \'-~L J.;; (\I cf <br />2€-lk7,h'//~ h. 3.fs~1 ~71) <br />SERVICE ADDRESS 391/1 CcG /",} i~- <br /> <br />MAILING <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE g....--- <br />INSTALL METER Q.../ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />liJ..-1/ATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~N CITY <br /> <br />o OUT CITY <br />/ <br />~ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />/' <br />~) I, <br />(L( <br /> <br />I j;:;/k ~..ti;- <br />"'" <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 />3- /3-03 <br /> <br />t::r <br /> <br />ORDER GIVEN BY <br /> <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 />