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<br />~9111B6 <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-7111-8008 FAX 813-719.7919 <br /> <br />Ed <br /> <br />'03__ 3<t cr~ <br />CITY OF ZEPHYRHILLS <br />ZEPHVRHIus, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE 7- 7- 0 '3 <br /> <br />=' '~;7LJ~~~Z'~ <br />SEFMCEA~[~)~Au- ~~~ ~ <br /> <br /> <br />~ WATER <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE rx <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o <br />~ <br /> <br />GARBAGE <br /> <br />IN CITY <br /> <br />o OUT CITY <br /> <br />I <br />~ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />.. <br /> <br />,- <br />/ ~ II <br /> <br />., . <br /> <br />~-tiht <br />AI1-i1ii- <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 & return to office, <br /> <br />