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<br />rg f''''-, <br /> <br />,~"~l <br />~~- <br /> <br />PERFORMANCE 9USINESS ?RCCUC-;-S. INC. 813-.719-8008 FAX 813-719-7919 <br /> <br />03._ <br /> <br />/\ <br />'/ llie T <br /> <br />CITY OF ZEPHYRHllLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE /0 -5'- ('3 <br /> <br />OWNER/ <br />RENTER <br /> <br />--:--.. 11 I' J -J;' - <br />t ./'./ H L. (c( .! C /1//1 '\ r h <br /> <br />/1 -+ <br />(' /"C"YV1.....{. <br /> <br />. MAILING <br /> <br />-- <br />':) c.c <br /> <br />/"}' .~ <br />C/~7YZ4.-J , <br />(/ <br /> <br /> I <br />SERVICE ADDRESS 'e Q; (l <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE 0...--- <br />INSTALL METER ,~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />G;}-"IN CITY <br /> <br />o OUT CITY <br /> <br />~ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BIU <br /> <br />J, <br /> <br />: I i <br /> <br />~ <br /> <br />. .,.;:-fl-;; yr.c~r <br />v-~ <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 .n office at all times. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Oept to sign yellow form & return to office. <br /> <br />.//,,,,,: .// //,- ",,/7 .d:-- <br />/" v/,,,?/ (,~~ ~ <br /> <br />ORD R GIVEN BY <br /> <br /> <br />X. ~f / {} ;;/~ <br />. '\, l~ Ii. jVztvt. l..1 <br />