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<br />'J1::t:>~ <br /> <br />'~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719c7919 <br /> <br />CITY OF ZEPHYRHlllS <br />ZEPHYRHIUS. FlORIDA <br /> <br />ei2~ J S. 3 :3' <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />5/5/03 <br />I I <br /> <br />iJ}'L/F .4~ ~'lC:. <br />. <br /> <br /> <br />3 ~ 7(1/ ,.( ~v./ C~ ~tI <br />dc& &/j / F/ <br />SERVICE ADDRESS 50 Z 3 /' ) ~ 5 T <br /> <br />OWNER/ <br />RENTER <br /> <br />MAIUNG <br /> <br />33S~S- <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTAll METER Q./' <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />~R <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~TY <br /> <br />o OUT CITY <br /> <br />/ <br />_ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />3/(;-#1 ~ <br />/(;' ::~'t7 /1~r <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 />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 & retum to offICe. <br /> <br /> <br />s A-J;j J:~ <br />/ /IV{ <br /> <br />2.~ <br /> <br /> <br />~r~o., <br /> <br />!/b <br /> <br />TI F'S: $ 1,480.00 <br />99% $ 1,465.20 <br />1% $ 14.80 <br /> <br />TOTAL: $ 5,733.04 ( <br />