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<br />:~ <br />~1Sqij!!i <br /> <br />E3 <br /> <br />?ERFORMANCE BUSINESS ?RODUCTS, ;NC_ 81S-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />,..., '), /l LI <br />c ~-. I I ~:3 <br /> <br />WATER ,A.CCT. NO. <br /> <br />DATE <br /> <br />1//(/0 ~ <br /> <br />/' / <br /> <br />OWNER/ ~' ,~ . <br />RENTER---------'--' /~r _...::t<j~MJI!:; <br /> <br />~ <br />........ <br />.' <br /> <br />/" ? <br />./ - (' <br />. ..c: < /-, I"~ \ i../1, ,-.- <br />;-~,_..,. -- ~/-'- <br /> <br />MAiliNG <br /> <br />~ ,- .-, '"' i) ._'/, I <br />:,~....).~ :'.- \. --' /;<.'" '''..--\ ~). <br /> <br />-;r df..' <br />~ ,/j~ <br />I C - <br /> <br />---1I ' <br />,-?,"". .' I <br />"::::~~:J I ,I <br /> <br />SERVICE ADDRESS <br /> <br />/f-13// <br /> <br />~ // -? <br />'~~ /. ~.V'I/J _/.~./,~./ <br /> <br />/ <br />L... / rJ <..,I <br />Q/ WATER <br /> <br />SHUT OFF SERVICE <br /> <br />o <br />.~ <br />1& <br /> <br />o SEWER <br /> <br />TURN ON SERVICE <br /> <br />o GARBAGE <br /> <br />INSTAll METER <br /> <br />READ METER <br /> <br />o <br /> <br />/~ IN CITY <br /> <br /> <br />o OUT CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />_ No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />~ <br /> <br />" <br />/ I <br />. -: IJ/~ _ /t,-> ;., <br />~~'- /,...,~~.l.-- <br /> <br />_ AMOUNT LAST BILL <br /> <br />/' <br />~ll <br />.1 <br />7 <br /> <br />_DATE <br /> <br />'~ <br /> <br />_ MISC. CHARGE <br /> <br />~ <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />A //' I <br />tj / / / /~, ,~ <br /> <br />/~ <br /> <br />~ <br /> <br /> <br />Retain white form in office at all tunes. .... i <br />Send pink & yellow forms to Water Service Dept. ' ,~ <br />Water Service Dept. to sIgn yellow form & return to office, <br /> <br /> <br />Vv~~sL;; VYu;,",'"r('(~j.,y <br />./'. <br />