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<br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 81:J.719-aOO8 FAX 81:J.719-7919 <br /> <br />o "37.-, ~;P Co c <br /> <br />CITY OF ZEPHYRHILlS <br />ZEPHYRHIUS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE ~- --;;2,f?.-U ..3 <br /> <br />~. <br />~( -L) ..o; (0 :iL<' ./.) ) <br />'--~R ~(i,lV.# 1..-/ ~ ~~ ~uvt/ <br />/1" I \ <br />\. './ <~.{~ (,t.J~ <br />;b-;o~wl~ff2;; j F~. 5$:plP-., <br />SERlfICEADDRESS 1?9~1 l!J~ W~ <br />\0' w. R ~oT ~f <br /> <br />MAIUNG <br /> <br />49$/ <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTALl. METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />)ri IN CITY <br /> <br />o OUT CITY <br />I <br />----"-- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br /> <br />~p <br />If. ~ <br /> <br />, <br /> <br />$-;;i:- <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 />~- ;1 'i'" 03 <br /> <br /> <br />:::;;- ~ <br />..~ <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 />