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<br />'-::-" <br />"' <br /> <br />"':~. <br /> <br />.~ <br />.~.Jiii!i <br /> <br />PERFORMANCE BUSINESS PRODUC-;-S. 'NC. 313-719-ilOO8 ~AX B13.719-,919 <br /> <br />() 3- -11,{ ,/~- Q <br />J <br /> <br />CITY OF ZEPHYRHllLS <br />ZEPHYRHILL5, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />!; /1 ,//~; <br />f i ~ <br />" <br /> <br />OWNER/ <br />RENTER <br /> <br />,., <br />- \ <br />IX ''-: il1i\?... V\ <br /> <br />" <br />t', --1- <br />l:U-Yl.,~<. , <br /> <br />/'-y <br />I - <br />',--.-' <br /> <br />~ <br />J.- ,,\ C <br /> <br />MAILING <br /> <br />-.,c{_ <br />j y. <br /> <br />L'3Yv",../\ "') <br />J <br /> <br />SERVICE ADDRESS <br /> <br />---::. ,-, , I ' <br />~. L Y-r0 <br /> <br />" <br /> <br />f--- ""...... \.2.-./ ::rv~mrrtty_if c:ir <br /> <br />" ~ <br />/,-J '( r <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />[]----"WATER <br /> <br />TURN ON SERVICE <br /> <br />Q./' <br /> <br />o SEWER <br /> <br />INSTALL METER <br /> <br />Q. <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br /> <br />D..---IN CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br /> <br />~ No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />., <br />A- <br />I <br />/' <br /> <br />L/ <br /> <br />ij\IO'ttl ;r:iJi-r <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />is. DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />i <br />/;"//L/ <br />" f..,,' i J , <br /> <br /> <br />--r-- <br />.CJ <br /> <br />Retain wnite 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 />7 <br />\ -D!--lIL~( <br />CJ <br />