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<br />:::f~/tib <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />,0"2-- 33.5 { <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />?A.I*3 <br />/ I <br /> <br />~~~i:t 131)/?GeS5 (I-7J1ST <br /> <br />? 725 /Voi<rA L-&dr. <br /> <br />V7dt"/fj F(. :250>'(( <br />SERVICE ADDRESS h '-/);2 Mt,/ t? l~vt"Ccl :::: [1 . <br />~TER <br /> <br />MAILING <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE <br /> <br />~ <br />g../ <br /> <br />o SEWER <br /> <br />INSTAlL METER <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br /> <br />~ITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br /> <br />/ <br />______ No. OF UNIlS <br /> <br />OTHER <br /> <br />o <br /> <br />:=)/. . <br />/1-, (; <br />tU <br />/ ( <br /> <br />_ DEPOSIT AMOUNT <br /> <br />-) <br /> <br />L-J~~r rrUtk <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 />//2(/03 <br /> <br />ORDER GIVEN BY <br /> <br />.\ \ / ~ <br />i ~/~ W;J/{/'J'J..../:d <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 "orm& return to office. <br /> <br />rC-r- <br />/ <br />/ <br /> <br />