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<br />~~ <br /> <br />1~' ~ <br />I <br />~ <br /> <br />?ERFORMANCE BUSINESS PRODUCTS, iNC. 31~J...719-8008 FAX 813--719-7919 <br /> <br />D 3--, '7 ,~) '6 <br /> <br />CITY OF ZEPHYRHIUS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE If) / ~~ /0 "?J <br />I / ( <br /> <br />~ ~/. <br />OWNER/ / I <br />RENTER (" , ~A1.#-. ~~l'7'-5 <br /> <br />;t;~;;;;;~, <br /> <br />SERVICE ADDRESS '~ 7"1:2 9 7( ~ <br /> <br />MAIUNG <br /> <br />V~4- <br /> <br />..... <br />./ <br />/ j/./1<... <br /> <br />LVI ~ :g~ <br />. <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~. <br />INSTALL METER ~ <br />READ METER D <br />CHECK METER 0 <br />OTHER 0 <br /> <br />'P WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />'9' IN CITY <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />k-II .'. ~ <br />)f W' /JJ1 <br /> <br />_ AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY ORDER TAKEN BY <br />& DATE COMPLETED <br /> <br /> <br />Retain wnite form in office at all t.mes. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Dept. to sign yellow form & return to office. <br /> <br />./ )' .....J, /~1 . <br />V ~~-A~~ <br />